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NPI Code Detail

MEDICARE: MR. JAMES RICHARD HENTHORN BCO BADO

MEDICARE:  MR. JAMES RICHARD HENTHORN  BCO BADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1700XOcularist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11933222OTHERFDA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497836035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES RICHARD HENTHORN BCO BADO
Provider Business Mailing Address
First Line : 744 S HILLSIDE
Second Line :
City : WICHITA
State : KS
Zip : 67211-3002
Country : US
Telephone Number : 316-688-5235
Fax Number : 316-651-0775
Provider Business Practice Location Address
First Line : 744 S HILLSIDE
Second Line :
City : WICHITA
State : KS
Zip : 67211-3002
Country : US
Telephone Number : 316-688-5235
Fax Number : 316-651-0775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 11/28/2007

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Directions to “ MR. JAMES RICHARD HENTHORN BCO BADO” Practice Location

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