Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 04-31455 | KS |
NPI | 1023173929 |
---|---|
Provider Name | Rachel Helene Sosland |
First Address | Overland Park, KS 66209-3721 |
Second Address | Overland Park, KS 66209-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023173929 | (05) | MO |
200615470B | (05) | KS |
450A00002A | MEDICARE JACKSON COUNTY (01) | MO |
450D00002D | MEDICARE JOHNSON COUNTY (01) | KS |
K67000013 | ENCOMPASS MEDICARE NUMBER (01) | MO |
K67000013 | MEDICARE PTAN (01) | MO |
K67A00004 | MEDICARE PTAN (01) | KS |
P00816045 | RR MEDICARE (01) | MO |