Dodson, David Kirk

Dodson, David Kirk is an sole proprietor health care provider with primary practice located at 28 Nathan Ln N , Plymouth MN 55441-6306. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Dodson, David Kirk can be contacted via phone (763) 588-7099.

Contact Information

Primary practice address
28 Nathan Ln N Plymouth MN 55441-6306
Phone: (763) 588-7099
Fax: (763) 522-2222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 52435 Minnesota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 52435 Minnesota

Profile Details

NPI number 1164698619
LBN Legal business name Dodson, David Kirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Feb 15th, 2024 - about last year

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 1164698619 NPPES
Minnesota Other 20192 RESIDENT PERMIT

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