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
Phone: (816) 795-8200
Fax: (816) 795-7735
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649231051 | NPPES |
Kansas | MEDICAID | 100396370B | |
Kansas | MEDICAID | 100396370C | |
Kansas | MEDICAID | 1649231051 | |
Kansas | Other | 080135929 |
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