FREESTATE HEALTH PLLC NPI 1013441930

NPI Information

NPI: 1013441930
Provider Name: FREESTATE HEALTH PLLC

Doing Business As: FREESTATE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4723 E DOUGLAS AVE
WICHITA, KS
ZIP 67218
Phone: (888) 505-1776
Get Directions

FREESTATE HEALTH PLLC is a multi-specialty clinic center in Wichita, KS. FREESTATE HEALTH PLLC NPI is 1013441930. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Freestate.

The provider's business location address is:

4723 E DOUGLAS AVE
WICHITA, KS
ZIP 67218-012
Phone: (888) 505-1776
Fax: (888) 505-1776

The provider's authorized official is Elisha Yaghmai .
The authorized official title is President and has the following contact phone number (888) 505-1776.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		04-33447	KANSAS	No
2	208000000X	Pediatrics		04-33447	KANSAS	No
3	261QM1300X	Clinic/Center	Multi-Specialty	04-33447	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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