Dierks Machado, Morgan Grace

Dierks Machado, Morgan Grace is an individual health care provider with primary practice located at 1 College Hl , Canton MO 63435-1299. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Dierks Machado, Morgan Grace can be contacted via phone (573) 288-6000.

Contact Information

Primary practice address
1 College Hl Canton MO 63435-1299
Phone: (573) 288-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1467223495
LBN Legal business name Dierks Machado, Morgan Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2024
Last updated Jan 9th, 2024 - 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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