De Priest, Michael D

De Priest, Michael D is an sole proprietor health care provider with primary practice located at 2111 N Woodbine Rd , Saint Joseph MO 64506-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. De Priest, Michael D can be contacted via phone (816) 364-6446.

Contact Information

Primary practice address
2111 N Woodbine Rd Saint Joseph MO 64506-2440
Fax: (816) 364-5320
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X R5B61 Missouri

Profile Details

NPI number 1639175029
LBN Legal business name De Priest, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Sep 24th, 2019 - about 5 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 1639175029 NPPES
Missouri MEDICAID 201794724

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