National Provider Identifier Database

CHILDREN AND TEENAGERS CLINIC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

CHILDREN AND TEENAGERS CLINIC
2401 S. TUCKER AVE.
SUITE 4
PITTSBURG, KS66762
Phone: 620-231-2490
Fax: 620-231-3920
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CHILDREN AND TEENAGERS CLINIC

NPI Number 1558492702
Legal business name
LBN
CHILDREN AND TEENAGERS CLINIC
Authorized official AMY DODSON - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 03/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KS Medicaid: 100270880A

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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