Maeda, Jose A.

Maeda, Jose A. is an sole proprietor health care provider with primary practice located at 305 W 15Th St Suite 204, Liberal KS 67901-2455. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Maeda, Jose A. can be contacted via phone (620) 624-4946.

Contact Information

Primary practice address
305 W 15Th St Suite 204 Liberal KS 67901-2455
Phone: (620) 624-4946
Fax: (620) 624-2260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X J1719 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 0436164 Kansas

Profile Details

NPI number 1083793087
LBN Legal business name Maeda, Jose A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Mar 8th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083793087 NPPES
Oklahoma MEDICAID 200554440A
Oklahoma MEDICAID 201001320A

Popular Providers