Vannorden, Mark Ethan

Vannorden, Mark Ethan is an sole proprietor health care provider with primary practice located at 200 E 8Th St , Larned KS 67550-2602. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Vannorden, Mark Ethan can be contacted via phone (620) 285-6041.

Contact Information

Primary practice address
200 E 8Th St Larned KS 67550-2602
Phone: (620) 285-6041
Fax: (620) 285-6194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0530418 Kansas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 05-30418 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 05-30418 Kansas

Profile Details

NPI number 1376595959
LBN Legal business name Vannorden, Mark Ethan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Apr 1st, 2020 - about 5 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 1376595959 NPPES
Kansas MEDICAID 200252510C
Kansas Other 107025
Kansas MEDICAID 200252510F

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