Deruyter, David Michael
Deruyter, David Michael is an sole proprietor health care provider with primary practice located at 1708 Missouri State Rd , Arnold MO 63010-2006. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Deruyter, David Michael can be contacted via phone (636) 287-9331.Contact Information
Primary practice address
1708 Missouri State Rd
Arnold MO 63010-2006
Phone: (636) 287-9331
Fax: (636) 287-9339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 012974 | Missouri |
Profile Details
| NPI number | 1023134921 |
|---|---|
| LBN Legal business name | Deruyter, David Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jan 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023134921 | NPPES |
| Missouri | MEDICAID | 407451210 |
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