Dock, John

Dock, John is an individual health care provider with primary practice located at 960 E Walnut Lawn St Ferrell Duncan Clinic Ent, Springfield MO 65807-7506. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Dock, John can be contacted via phone (417) 875-3600.

Contact Information

Primary practice address
960 E Walnut Lawn St Ferrell Duncan Clinic Ent Springfield MO 65807-7506
Phone: (417) 875-3600
Fax: (417) 875-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 113808 Missouri
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 113808 Missouri
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 001241 Missouri

Profile Details

NPI number 1457436735
LBN Legal business name Dock, John
Credentials MSCCCA-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Feb 6th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457436735 NPPES
Missouri MEDICAID 1457436735

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