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
Phone: (888) 256-3814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1407970700 | NPPES |
| Missouri | MEDICAID | 242956100 |
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