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
Phone: (417) 269-9200
Fax: (417) 269-9204
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386643773 | NPPES |
Missouri | MEDICAID | 202763058 | |
Missouri | Other | 18731 |
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