Perry, Lindall A

Perry, Lindall A is an sole proprietor health care provider with primary practice located at 401 Keene St , Columbia MO 65201-6625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Perry, Lindall A can be contacted via phone (573) 876-1616.

Contact Information

Primary practice address
401 Keene St Columbia MO 65201-6625
Phone: (573) 876-1616
Fax: (573) 876-1678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 107883 Missouri
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 107883 Missouri

Profile Details

NPI number 1720036072
LBN Legal business name Perry, Lindall A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Sep 5th, 2012 - about 12 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 1720036072 NPPES
Missouri MEDICAID 208550749

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