Huddleston, Don M.
Huddleston, Don M. is an individual health care provider with primary practice located at 1605 Martin Springs Dr Ste 110, Rolla MO 65401-2982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Huddleston, Don M. can be contacted via phone (573) 458-6610.Contact Information
Primary practice address
1605 Martin Springs Dr Ste 110
Rolla MO 65401-2982
Phone: (573) 458-6610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | R7B97 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R7B97 | Missouri |
Profile Details
| NPI number | 1306991336 |
|---|---|
| LBN Legal business name | Huddleston, Don M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Mar 14th, 2013 - about 12 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 | 1306991336 | NPPES |
| Missouri | Other | 431560263 | TRICARE |
| Missouri | Other | P00154215 | TRICARE |
| Missouri | MEDICAID | 1306991336 | TRICARE |
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