Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 04-15082 | KS |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 04-15082 | KS |
NPI | 1154305480 |
---|---|
Provider Name | Dr. Juan C Nosti |
First Address | Shawnee Mission, KS 66204-2204 |
Second Address | Shawnee Mission, KS 66204-2204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 17/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05641013 | BLUE CROSS BLUE SHIELD KC (01) | MO |
056987 | BCBS KANSAS (01) | KS |
C52140 | (02) | KS |