Wendt, Mark D

Wendt, Mark D is an individual health care provider with primary practice located at 629 S Plummer Ave , Chanute KS 66720-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wendt, Mark D can be contacted via phone (620) 431-4000.

Contact Information

Primary practice address
629 S Plummer Ave Chanute KS 66720-1928
Fax: (620) 431-7556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0526245 Kansas

Profile Details

NPI number 1396832242
LBN Legal business name Wendt, Mark D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 6th, 2022 - about 2 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 1396832242 NPPES
Kansas MEDICAID 2456456301

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