Dotson, Tommy R

Dotson, Tommy R is an individual health care provider with primary practice located at 904 Wollard Blvd , Richmond MO 64085-2229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dotson, Tommy R can be contacted via phone (816) 470-5432.

Contact Information

Primary practice address
904 Wollard Blvd Richmond MO 64085-2229
Fax: (816) 470-7343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R1E52 Missouri

Profile Details

NPI number 1710959994
LBN Legal business name Dotson, Tommy R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Mar 26th, 2015 - about 10 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 1710959994 NPPES
Missouri MEDICAID MOR1E52

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