Individual
DR. OSWALDO CRUZ BACANI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1525 MADISON ST STE 3, FREDONIA, KS 66736-1704
(620) 378-3700
(620) 378-3536
Mailing address
PO BOX 576, FREDONIA, KS 66736-0576
(620) 378-3700
(620) 378-3536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17538
KS
208600000X
Surgery Physician
04-17538
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002897
BLUE CROSS BLUE SHIELD
KS
05
—
100087030-A
—
KS
Enumeration date
08/17/2006
Last updated
10/07/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us