Meyerhoff, Mark L

Meyerhoff, Mark L is an individual health care provider with primary practice located at 5500 E Kellogg Dr Suite 1, Wichita KS 67218-1607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Meyerhoff, Mark L can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Suite 1 Wichita KS 67218-1607
Phone: (316) 685-2221
Fax: (316) 681-5522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00735 Kansas

Profile Details

NPI number 1639149784
LBN Legal business name Meyerhoff, Mark L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 6th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639149784 NPPES
Kansas MEDICAID 100371870B

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