Mavec, James Anthony
Mavec, James Anthony is an individual health care provider with primary practice located at 10200 W 105Th St , Overland Park KS 66212-5750. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mavec, James Anthony can be contacted via phone (913) 495-9600.Contact Information
Primary practice address
10200 W 105Th St
Overland Park KS 66212-5750
Phone: (913) 495-9600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0423774 | Kansas |
Profile Details
| NPI number | 1417937921 |
|---|---|
| LBN Legal business name | Mavec, James Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 20th, 2024 - about last year |
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 | 1417937921 | NPPES |
| Missouri | Other | 1584675B | MEDICARE |
| Missouri | Other | 1584675C | MEDICARE |
| Missouri | MEDICAID | 100160630A | MEDICARE |
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