Dunn, Charles W

Dunn, Charles W is an individual health care provider with primary practice located at 1222 S Delaware Ave , Springfield MO 65804-0204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dunn, Charles W can be contacted via phone (417) 860-7743.

Contact Information

Primary practice address
1222 S Delaware Ave Springfield MO 65804-0204
Phone: (417) 860-7743
Fax: (417) 269-7567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X R9N08 Missouri

Profile Details

NPI number 1053418152
LBN Legal business name Dunn, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 10th, 2023 - about 2 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 1053418152 NPPES
Arkansas MEDICAID 118554001
Arkansas MEDICAID 202933115

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