Rechkemmer, Craig Allen

Rechkemmer, Craig Allen is an sole proprietor health care provider with primary practice located at 4728 S Campbell Ave Suite 120, Springfield MO 65810-1724. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Rechkemmer, Craig Allen can be contacted via phone (417) 300-9424.

Contact Information

Primary practice address
4728 S Campbell Ave Suite 120 Springfield MO 65810-1724
Phone: (417) 300-9424
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 3693 Arkansas
Dental Providers / Dentist 122300000X 2002012097 Missouri

Profile Details

NPI number 1053467399
LBN Legal business name Rechkemmer, Craig Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2007
Last updated Oct 17th, 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 1053467399 NPPES
Missouri MEDICAID 405744707
Missouri Other 2002012097
Missouri Other 3693

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