Wanke, George C

Wanke, George C is an individual health care provider with primary practice located at 3707 Sw 6Th Ave , Topeka KS 66606. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wanke, George C can be contacted via phone (785) 270-4630.

Contact Information

Primary practice address
3707 Sw 6Th Ave Topeka KS 66606
Fax: (785) 270-2084
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0872 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904013038 Virginia

Profile Details

NPI number 1437120227
LBN Legal business name Wanke, George C
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 3rd, 2021 - about 4 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 1437120227 NPPES
Kansas Other 110661020 MEDICARE PTAN
Kansas Other 070321 MEDICARE PTAN
Kansas MEDICAID 100097940A MEDICARE PTAN
Kansas MEDICAID 200439570B MEDICARE PTAN

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