Thach, Jodene R.
Thach, Jodene R. is an individual health care provider with primary practice located at 7200 W 13Th St N Suite 5, Wichita KS 67212-2970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Thach, Jodene R. can be contacted via phone (316) 239-7357.Contact Information
Primary practice address
7200 W 13Th St N Suite 5
Wichita KS 67212-2970
Phone: (316) 239-7357
Fax: (316) 295-2356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | CNP00557 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 36827 | Kansas |
Profile Details
NPI number | 1801877295 |
---|---|
LBN Legal business name | Thach, Jodene R. |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 11th, 2005 |
Last updated | Sep 23rd, 2014 - about 10 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 | 1801877295 | NPPES |
New Mexico | MEDICAID | L6477 | |
New Mexico | MEDICAID | 201091430A |
Popular Providers
-
Harding, Tyler James
929 N Saint Francis Ave , Wichita KS 67214-3821 -
Roach, Erica L
818 N Emporia St Ste 310 , Wichita KS 67214-3727 -
Thiessen, Kathryn D
1001 N Minneapolis St , Wichita KS 67214-3127 -
Aspenson, Regan
1131 S Clifton Ave , Wichita KS 67218-2955 -
Bergkamp, Julianna M
818 N Emporia St Suite 403, Wichita KS 67214-3729 -
Whittredge-Smith, Erin
1947 N Founders Cir , Wichita KS 67206-3548 -
Hartman, Christel
3450 N Rock Rd Ste 503 , Wichita KS 67226-1355 -
Clements-Bailey, Mary Jane
5500 E Kellogg , Wichita KS 67218