Dicus, Cynthia G.

Dicus, Cynthia G. is an individual health care provider with primary practice located at 1605 Martin Springs Dr Ste 230, Rolla MO 65401-2931. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dicus, Cynthia G. can be contacted via phone (573) 458-6350.

Contact Information

Primary practice address
1605 Martin Springs Dr Ste 230 Rolla MO 65401-2931
Phone: (573) 458-6350
Fax: (573) 458-6764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2011034127 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011034127 Missouri

Profile Details

NPI number 1205110301
LBN Legal business name Dicus, Cynthia G.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Jun 9th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205110301 NPPES
Missouri Other P01028023 RR MCR
Missouri Other 431560263 RR MCR
Missouri MEDICAID 1205110301 RR MCR

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