Waddell, Thomas

Waddell, Thomas is an individual health care provider with primary practice located at 12300 Metcalf Ave , Overland Park KS 66213-1324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Waddell, Thomas can be contacted via phone (913) 317-7678.

Contact Information

Primary practice address
12300 Metcalf Ave Overland Park KS 66213-1324
Phone: (913) 317-7678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R5010 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-14490 Kansas

Profile Details

NPI number 1740257286
LBN Legal business name Waddell, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Apr 18th, 2008 - about 16 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 1740257286 NPPES
Other 04772024 BCBS
MEDICAID 10015450F BCBS

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