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EQUIPOISE HEALTHCARE LLC NPI 1912649443


NPI Information

NPI: 1912649443
Provider Name: EQUIPOISE HEALTHCARE, LLC
Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

CLIA Number: 17D2257750

Address:
8110 E 32ND ST N STE 170
WICHITA, KS
ZIP 67226
Phone: (316) 330-9700
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EQUIPOISE HEALTHCARE, LLC is a pediatric hematology-oncology pediatrics in Wichita, KS. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. EQUIPOISE HEALTHCARE, LLC NPI is 1912649443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8110 E 32ND ST N STE 170
WICHITA, KS
ZIP 67226-627
Phone: (316) 330-9700
Fax: (316) 330-9701

The provider's authorized official is Elisa J Stauffer .
The authorized official title is Physician Owner and has the following contact phone number (316) 330-9700.

The CLIA number assigned to this NPI record is 17D2257750 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 4/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0207XPediatricsPediatric Hematology-OncologyYes

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

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