Seidl, David A

Seidl, David A is an individual health care provider with primary practice located at 1020 Mcintosh Cir Ste 203 , Joplin MO 64804-3689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Seidl, David A can be contacted via phone (417) 781-7110.

Contact Information

Primary practice address
1020 Mcintosh Cir Ste 203 Joplin MO 64804-3689
Fax: (417) 781-8117
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 114653 Missouri

Profile Details

NPI number 1578509527
LBN Legal business name Seidl, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 30th, 2019 - about 6 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 1578509527 NPPES
Other 100011620 RR MEDICARE
Other 114173 RR MEDICARE
MEDICAID 209799402 RR MEDICARE
MEDICAID 100315010A RR MEDICARE
MEDICAID 100176490A RR MEDICARE

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