Dean, Todd C.
Dean, Todd C. is an individual health care provider with primary practice located at 1229 E Seminole St Ste 230, Springfield MO 65804-2227. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dean, Todd C. can be contacted via phone (417) 820-5610.Contact Information
Primary practice address
1229 E Seminole St Ste 230
Springfield MO 65804-2227
Phone: (417) 820-5610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2003022693 | Missouri |
Profile Details
| NPI number | 1629117361 |
|---|---|
| LBN Legal business name | Dean, Todd C. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Nov 27th, 2012 - about 14 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 | 1629117361 | NPPES |
| Missouri | Other | P00076285 | RR MCR |
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