Dirksen, Russell T
Dirksen, Russell T is an individual health care provider with primary practice located at 929 E Montclair St Suite 100, Springfield MO 65807-5068. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Dirksen, Russell T can be contacted via phone (417) 883-1881.Contact Information
Primary practice address
929 E Montclair St Suite 100
Springfield MO 65807-5068
Phone: (417) 883-1881
Fax: (417) 883-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 695 | Missouri |
Profile Details
| NPI number | 1225142409 |
|---|---|
| LBN Legal business name | Dirksen, Russell T |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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