National Provider Identifier Database

TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
102 E 11TH ST
LIBERAL, KS67901-2784
Phone: 620-624-2565
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER

NPI Number 1134443237
Legal business name
LBN
TADURAN SPORTS MEDICINE AND OSTEOPATHIC WELLNESS CENTER
Authorized official TROY VIRGIL TADURAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/17/2010
Last updated 03/17/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 05-34185
  • FL Other: OS 9896 LICENSE
  • KS Other: 05-34185 LICENSE

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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