Twillie, Nedra Diann
Twillie, Nedra Diann is an sole proprietor health care provider with primary practice located at 415 Burkarth Rd Ste D , Warrensburg MO 64093-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Twillie, Nedra Diann can be contacted via phone (660) 747-3141.Contact Information
Primary practice address
415 Burkarth Rd Ste D
Warrensburg MO 64093-3101
Phone: (660) 747-3141
Fax: (660) 747-7292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 103901 | Missouri |
Profile Details
| NPI number | 1811076763 |
|---|---|
| LBN Legal business name | Twillie, Nedra Diann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811076763 | NPPES |
| Missouri | MEDICAID | 205448905 |
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