Dyck, David D

Dyck, David D is an individual health care provider with primary practice located at 19550 E 39Th St S Suite 419, Independence MO 64057-2358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dyck, David D can be contacted via phone (816) 795-8200.

Contact Information

Primary practice address
19550 E 39Th St S Suite 419 Independence MO 64057-2358
Fax: (816) 795-7735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 108810 Missouri

Profile Details

NPI number 1649231051
LBN Legal business name Dyck, David D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 16th, 2022 - 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 1649231051 NPPES
Kansas MEDICAID 100396370B
Kansas MEDICAID 100396370C
Kansas MEDICAID 1649231051
Kansas Other 080135929

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