Kinscherff, David W

Kinscherff, David W is an individual health care provider with primary practice located at 122 E Zupan St , Maryville IL 62062-2010. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kinscherff, David W can be contacted via phone (618) 344-4449.

Contact Information

Primary practice address
122 E Zupan St Maryville IL 62062-2010
Phone: (618) 344-4449
Fax: (618) 344-4551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004012 Illinois

Profile Details

NPI number 1942280789
LBN Legal business name Kinscherff, David W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 5th, 2007 - about 17 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 1942280789 NPPES
Missouri Other 000011510 MO MEDICARE GROUP
Missouri Other 42690 MO MEDICARE GROUP
Missouri Other 135306 MO MEDICARE GROUP
Missouri Other 16233 MO MEDICARE GROUP
Missouri Other 2750017 MO MEDICARE GROUP
Missouri Other 480008235 MO MEDICARE GROUP

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