Netherton, David M

Netherton, David M is an individual health care provider with primary practice located at 7111 E 21St St N Suite A, Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Netherton, David M can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St St N Suite A Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-19846 Kansas

Profile Details

NPI number 1356345813
LBN Legal business name Netherton, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2005
Last updated Oct 17th, 2012 - about 12 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 1356345813 NPPES
Kansas Other 621920 FIRSTGUARD
Kansas MEDICAID 100163140C FIRSTGUARD
Kansas Other 103093 FIRSTGUARD
Kansas MEDICAID 100416440A FIRSTGUARD
Kansas Other 110718 FIRSTGUARD
Kansas Other P00035386 FIRSTGUARD

Popular Providers