Dodson, Heather K

Dodson, Heather K is an individual health care provider with primary practice located at 3250 Gordonville Rd Ste 301, Cape Girardeau MO 63703-5056. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dodson, Heather K can be contacted via phone (573) 334-9641.

Contact Information

Primary practice address
3250 Gordonville Rd Ste 301 Cape Girardeau MO 63703-5056
Fax: (573) 331-3120
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2002021767 Missouri

Profile Details

NPI number 1962432526
LBN Legal business name Dodson, Heather K
Credentials M.D., FAAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 2nd, 2010 - about 14 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 1962432526 NPPES
Other 519387 HEALTHLINK
Other 370022298 HEALTHLINK
MEDICAID 205977705 HEALTHLINK
MEDICAID 1962432526 HEALTHLINK
Other 603529 HEALTHLINK

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