Bezold, Dennis W
Bezold, Dennis W is an individual health care provider with primary practice located at 2013 S Joplin Ave , Joplin MO 64804-2033. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bezold, Dennis W can be contacted via phone (417) 624-5005.Contact Information
Primary practice address
2013 S Joplin Ave
Joplin MO 64804-2033
Phone: (417) 624-5005
Fax: (417) 624-5215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02683 | Missouri |
Profile Details
| NPI number | 1558366880 |
|---|---|
| LBN Legal business name | Bezold, Dennis W |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 24th, 2017 - about 7 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 | 1558366880 | NPPES |
| Missouri | MEDICAID | 312283906 | |
| Missouri | Other | 32598 | |
| Missouri | Other | 410016224 |
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