Mcnutt, Donald K

Mcnutt, Donald K is an individual health care provider with primary practice located at 2713 Industrial Dr Suite C, Jefferson City MO 65109-6705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mcnutt, Donald K can be contacted via phone (573) 634-7884.

Contact Information

Primary practice address
2713 Industrial Dr Suite C Jefferson City MO 65109-6705
Phone: (573) 634-7884
Fax: (573) 634-3146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R7J08 Missouri

Profile Details

NPI number 1114025079
LBN Legal business name Mcnutt, Donald K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Nov 15th, 2013 - about 11 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 1114025079 NPPES
Missouri MEDICAID 242921435

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