Staddon, Jack
Staddon, Jack is an individual health care provider with primary practice located at 3243 E Murdock St Ste 510 , Wichita KS 67208-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Staddon, Jack can be contacted via phone (316) 962-3928.Contact Information
Primary practice address
3243 E Murdock St Ste 510
Wichita KS 67208-3007
Phone: (316) 962-3928
Fax: (316) 962-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 04-45815 | Kansas |
Profile Details
| NPI number | 1952500415 |
|---|---|
| LBN Legal business name | Staddon, Jack |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2007 |
| Last updated | Aug 26th, 2022 - about 3 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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