Maben, Pamela
Maben, Pamela is an individual health care provider with primary practice located at 4911 S Arrowhead Dr Suite 200, Independence MO 64055-7005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Maben, Pamela can be contacted via phone (816) 795-9595.Contact Information
Primary practice address
4911 S Arrowhead Dr Suite 200
Independence MO 64055-7005
Phone: (816) 795-9595
Fax: (816) 795-1188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 107790 | Missouri |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 107790 | Missouri |
Profile Details
| NPI number | 1083609077 |
|---|---|
| LBN Legal business name | Maben, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Sep 20th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083609077 | NPPES |
| Kansas | MEDICAID | 100151230 C | |
| Kansas | MEDICAID | 208995803 | |
| Kansas | MEDICAID | 100151230B |
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