Park, William
Park, William is an individual health care provider with primary practice located at 550 N Hillside St , Wichita KS 67214-4910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, William can be contacted via phone (316) 962-3150.Contact Information
Primary practice address
550 N Hillside St
Wichita KS 67214-4910
Phone: (316) 962-3150
Fax: (316) 962-7334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-29130 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 04-29130 | Kansas |
Profile Details
| NPI number | 1477518934 |
|---|---|
| LBN Legal business name | Park, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Oct 17th, 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 | 1477518934 | NPPES |
| Kansas | Other | 103059 | BLUE CROSS BLUE SHIELD |
| Kansas | Other | 411471 | BLUE CROSS BLUE SHIELD |
| Kansas | MEDICAID | 100397190B | BLUE CROSS BLUE SHIELD |
| Kansas | Other | 203466 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Dismuke, Stewart E
2707 E 21St St N , Wichita KS 67214-2249 -
Johnston, Sarah C
1010 N Kansas St , Wichita KS 67214-3124 -
Sweet, Donna E
1001 N Minneapolis St , Wichita KS 67214-3127 -
Nassif, Imad I
9050 E 29Th St N Suite 100, Wichita KS 67226 -
Kendrick, Linda S
1010 N Kansas St , Wichita KS 67214-3124 -
Peery, William H
1010 N Kansas St , Wichita KS 67214-3124 -
Minns, Garold O
1001 N Minneapolis , Wichita KS 67214-3199 -
Bloom, R. Lamont
406 E Central Ave , Wichita KS 67202-1058