Waddell, David J

Waddell, David J is an individual health care provider with primary practice located at 751 Sappington Bridge Rd , Sullivan MO 63080-2354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Waddell, David J can be contacted via phone (573) 468-4186.

Contact Information

Primary practice address
751 Sappington Bridge Rd Sullivan MO 63080-2354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2023006560 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 31608 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E9142 Arkansas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2023006560 Missouri

Profile Details

NPI number 1144239500
LBN Legal business name Waddell, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Aug 1st, 2023 - about last year

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 1144239500 NPPES
Iowa MEDICAID 0148593
Iowa Other 110149386
Iowa MEDICAID 208691204
Iowa MEDICAID 209747001
Iowa Other 421202636
Iowa Other 419099YWUJ

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