Atwood, Steven Dale

Atwood, Steven Dale is an sole proprietor health care provider with primary practice located at 3525 S National Ave Ste 206, Springfield MO 65807-7310. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Atwood, Steven Dale can be contacted via phone (417) 269-9200.

Contact Information

Primary practice address
3525 S National Ave Ste 206 Springfield MO 65807-7310
Fax: (417) 269-9204
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R1K19 Missouri

Profile Details

NPI number 1386643773
LBN Legal business name Atwood, Steven Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Nov 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386643773 NPPES
Missouri MEDICAID 202763058
Missouri Other 18731

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