Dement, Oman E

Dement, Oman E is an individual health care provider with primary practice located at 1532 W 32Nd St Ste 401, Joplin MO 64804-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Dement, Oman E can be contacted via phone (417) 347-7009.

Contact Information

Primary practice address
1532 W 32Nd St Ste 401 Joplin MO 64804-1607
Fax: (417) 347-3288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 34577 Missouri

Profile Details

NPI number 1073540977
LBN Legal business name Dement, Oman E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 17th, 2009 - about 16 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 1073540977 NPPES
Other 010054250 RR MEDICARE
MEDICAID 100142750B RR MEDICARE
MEDICAID 200882330 RR MEDICARE
Other 6076 RR MEDICARE
MEDICAID 100177670A RR MEDICARE

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