Thiessen, Mary L.
Thiessen, Mary L. is an individual health care provider with primary practice located at 4000 Cambridge St , Kansas City KS 66160-3220. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Thiessen, Mary L. can be contacted via phone (913) 588-6500.Contact Information
Primary practice address
4000 Cambridge St
Kansas City KS 66160-3220
Phone: (913) 588-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34029 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2006014613 | Missouri |
Profile Details
| NPI number | 1033182555 |
|---|---|
| LBN Legal business name | Thiessen, Mary L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Aug 22nd, 2022 - about 2 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 | 1033182555 | NPPES |
| Kansas | MEDICAID | 200414090A | |
| Kansas | MEDICAID | 200414090D | |
| Kansas | Other | 37400018 | |
| Kansas | MEDICAID | 2004140908 | |
| Kansas | MEDICAID | 200226405 | |
| Kansas | Other | 431832147A061 | |
| Kansas | Other | P00393445 | |
| Kansas | MEDICAID | 200414090C | |
| Kansas | MEDICAID | 952855 |
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