Wellemeyer, Mark L
Wellemeyer, Mark L is an individual health care provider with primary practice located at 1851 N Webb Rd , Wichita KS 67206-3413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wellemeyer, Mark L can be contacted via phone (316) 636-2010.Contact Information
Primary practice address
1851 N Webb Rd
Wichita KS 67206-3413
Phone: (316) 636-2010
Fax: (316) 858-3830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0424214 | Kansas |
Profile Details
| NPI number | 1508831710 |
|---|---|
| LBN Legal business name | Wellemeyer, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 26th, 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 | 1508831710 | NPPES |
| Kansas | MEDICAID | 100140610B | |
| Kansas | Other | 180024029 |
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