Dudenhoeffer, Michael Peter

Dudenhoeffer, Michael Peter is an individual health care provider with primary practice located at 606 E High St , Jefferson City MO 65101-3279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dudenhoeffer, Michael Peter can be contacted via phone (573) 635-2211.

Contact Information

Primary practice address
606 E High St Jefferson City MO 65101-3279
Phone: (573) 635-2211
Fax: (573) 636-9350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R1F18 Missouri

Profile Details

NPI number 1073517900
LBN Legal business name Dudenhoeffer, Michael Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Apr 24th, 2008 - about 16 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 1073517900 NPPES
Missouri MEDICAID 242735520

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