Dandridge, Walter C

Dandridge, Walter C is an individual health care provider with primary practice located at 100 Mercy Way Ste 440, Joplin MO 64804-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dandridge, Walter C can be contacted via phone (417) 781-4404.

Contact Information

Primary practice address
100 Mercy Way Ste 440 Joplin MO 64804-4524
Phone: (417) 781-4404
Fax: (417) 781-5845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R6557 Missouri

Profile Details

NPI number 1316985815
LBN Legal business name Dandridge, Walter C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 17th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316985815 NPPES
Oklahoma MEDICAID 100099510A
Oklahoma MEDICAID 1316985815
Oklahoma Other P00800462
Oklahoma MEDICAID 100167010E

Popular Providers