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Contact Information

LIBERTAS CORP.
4723 E DOUGLAS AVE
WICHITA, KS67218-1012
 Phone: 800-924-8140
 Fax: 800-924-8140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LIBERTAS CORP · (Female)

NPI # 1659822864
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2016
Last updated 12/29/2016 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 04-33447
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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