Larue, David Malcolm

Larue, David Malcolm is an sole proprietor health care provider with primary practice located at 210 Ne Tudor , Lees Summitt MO 64086-5696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is his primary health care specialty. Larue, David Malcolm can be contacted via phone (888) 256-3814.

Contact Information

Primary practice address
210 Ne Tudor Lees Summitt MO 64086-5696
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R9J48 Missouri
Ambulatory Health Care Facilities / Health Service 261QH0100X R9J48 Missouri

Profile Details

NPI number 1407970700
LBN Legal business name Larue, David Malcolm
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jan 31st, 2017 - about 7 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 1407970700 NPPES
Missouri MEDICAID 242956100

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