Phelps, David W

Phelps, David W is an individual health care provider with primary practice located at 401 Woodland Hills Blvd , Fort Scott KS 66701-8797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Phelps, David W can be contacted via phone (620) 223-2200.

Contact Information

Primary practice address
401 Woodland Hills Blvd Fort Scott KS 66701-8797
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-17329 Kansas

Profile Details

NPI number 1790798692
LBN Legal business name Phelps, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 17 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 1790798692 NPPES
Kansas Other 020223 BLUE CROSS, PC

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