Mullock, Dallas
Mullock, Dallas is an individual health care provider with primary practice located at 2332 S Main St , Maryville MO 64468-3622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mullock, Dallas can be contacted via phone (660) 562-2223.Contact Information
Primary practice address
2332 S Main St
Maryville MO 64468-3622
Phone: (660) 562-2223
Fax: (660) 562-2230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2015023403 | Missouri |
Profile Details
| NPI number | 1134504012 |
|---|---|
| LBN Legal business name | Mullock, Dallas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2015 |
| Last updated | May 21st, 2020 - about 4 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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