Beversdorf, David Q.
Beversdorf, David Q. is an individual health care provider with primary practice located at 1020 Hitt St , Columbia MO 65212-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry is his primary health care specialty. Beversdorf, David Q. can be contacted via phone (573) 882-1515.Contact Information
Primary practice address
1020 Hitt St
Columbia MO 65212-0001
Phone: (573) 882-1515
Fax: (573) 884-0070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2008004262 | Missouri |
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 2008004262 | Missouri |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2008004262 | Missouri |
Profile Details
NPI number | 1639253982 |
---|---|
LBN Legal business name | Beversdorf, David Q. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2006 |
Last updated | Aug 10th, 2023 - about last year |
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 | 1639253982 | NPPES |
Missouri | MEDICAID | 204610604 |
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