Chisholm, David M

Chisholm, David M is an individual health care provider with primary practice located at 3870 Columbia Ave , Osage Beach MO 65065-8689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Chisholm, David M can be contacted via phone (573) 302-7490.

Contact Information

Primary practice address
3870 Columbia Ave Osage Beach MO 65065-8689
Phone: (573) 302-7490
Fax: (573) 302-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4283 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2023010485 Missouri

Profile Details

NPI number 1366433419
LBN Legal business name Chisholm, David M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366433419 NPPES
Missouri MEDICAID 1366433419
Missouri MEDICAID 951021

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