Carissa Jane Wentland
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
525 N Keene St Ste 201
Columbia
, Missouri 65201-6967
Carissa Jane Wentland
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
525 N Keene St Ste 201
Columbia
, Missouri 65201-6967
(573) 884-0943
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Carissa Jane Wentland
- Po Box 843966
- Kansas City, MO
- Zip : 64184-3966
- Fax : (573) 884-0943
- Phone : (573) 884-3300
Second Address
- Carissa Jane Wentland
- 525 N Keene St Ste 201
- Columbia, MO
- Zip : 65201-6967
- Fax : (573) 884-4607
- Phone : (573) 882-7903
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FAQs
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Is Carissa Jane Wentland a sole practitioner?
Is Carissa Jane Wentland accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 01220 | OH |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2019020869 | MO |
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 262814 | MA |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101018847 | MI |
National Provider Identifier
| NPI | 1558682815 |
|---|---|
| Provider Name | Carissa Jane Wentland |
| First Address | Kansas City, MO 64184-3966 |
| Second Address | Columbia, MO 65201-6967 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2010 |
| Last Update Date | 29/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558682815 | (02) | MA |
| 1558682815 | (05) | MA |
| 262814 | (02) | MA |
| 262814 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.