Andreassen, Ross Dimil
Andreassen, Ross Dimil is an individual health care provider with primary practice located at 3000 Independence Sq , West Plains MO 65775-4239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Andreassen, Ross Dimil can be contacted via phone (417) 256-1761.Contact Information
Primary practice address
3000 Independence Sq
West Plains MO 65775-4239
Phone: (417) 256-1761
Fax: (417) 256-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2000174760 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2000174760 | Missouri |
Profile Details
| NPI number | 1558425710 |
|---|---|
| LBN Legal business name | Andreassen, Ross Dimil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Nov 25th, 2015 - about 11 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 | 1558425710 | NPPES |
| Missouri | Other | P00892882 | MEDICARE RR |
| Missouri | Other | 658905 | MEDICARE RR |
| Missouri | MEDICAID | 1558425710 | MEDICARE RR |
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