David, Michael D

David, Michael D is an individual health care provider with primary practice located at 1130 E 32Nd St , Joplin MO 64804-4034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. David, Michael D can be contacted via phone (417) 347-2273.

Contact Information

Primary practice address
1130 E 32Nd St Joplin MO 64804-4034
Phone: (417) 347-2273
Fax: (417) 347-2277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3714 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO05122 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2021010406 Missouri

Profile Details

NPI number 1003814179
LBN Legal business name David, Michael D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated May 5th, 2021 - about 3 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 1003814179 NPPES
Oklahoma MEDICAID 100197510E
Oklahoma Other 200470610D
Oklahoma Other 100197510C
Oklahoma MEDICAID 200505990B

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