Vinzant, Mark N
Vinzant, Mark N is an sole proprietor health care provider with primary practice located at 1410 N Woodlawn Blvd Suite A, Derby KS 67037-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vinzant, Mark N can be contacted via phone (316) 788-3741.Contact Information
Primary practice address
1410 N Woodlawn Blvd Suite A
Derby KS 67037-2922
Phone: (316) 788-3741
Fax: (316) 788-5198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0417161 | Kansas |
Profile Details
| NPI number | 1659319481 |
|---|---|
| LBN Legal business name | Vinzant, Mark N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 23rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659319481 | NPPES |
| Kansas | Other | 006432 | BC/BS |
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