Tong, Alan Dare
Tong, Alan Dare is an individual health care provider with primary practice located at 4350 S National Ave Suite C 100, Springfield MO 65810-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Tong, Alan Dare can be contacted via phone (417) 447-4700.Contact Information
Primary practice address
4350 S National Ave Suite C 100
Springfield MO 65810-2607
Phone: (417) 447-4700
Fax: (417) 447-4701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 2004030806 | Missouri |
Profile Details
NPI number | 1003812504 |
---|---|
LBN Legal business name | Tong, Alan Dare |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Dec 2nd, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003812504 | NPPES |
Missouri | MEDICAID | 209220805 | |
Missouri | MEDICAID | 200316950A |
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