Dimmick, Joshua Ryan
Dimmick, Joshua Ryan is an individual health care provider with primary practice located at 1536 E Primrose St , Springfield MO 65804-7928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Dimmick, Joshua Ryan can be contacted via phone (417) 882-1818.Contact Information
Primary practice address
1536 E Primrose St
Springfield MO 65804-7928
Phone: (417) 882-1818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M8632 | Texas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 2009004969 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2009004969 | Missouri |
Profile Details
| NPI number | 1285838847 |
|---|---|
| LBN Legal business name | Dimmick, Joshua Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285838847 | NPPES |
| Missouri | MEDICAID | 1285838847 | |
| Missouri | Other | 3857747604 | |
| Missouri | Other | 148380006 |
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