Dorsey, Lance Wyeth
Dorsey, Lance Wyeth is an individual health care provider with primary practice located at 6000 Hospital Dr , Hannibal MO 63401-6887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dorsey, Lance Wyeth can be contacted via phone (573) 248-5304.Contact Information
Primary practice address
6000 Hospital Dr
Hannibal MO 63401-6887
Phone: (573) 248-5304
Fax: (573) 248-5311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | T2006016923 | Missouri |
Profile Details
| NPI number | 1073629770 |
|---|---|
| LBN Legal business name | Dorsey, Lance Wyeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073629770 | NPPES |
| Missouri | MEDICAID | 1073629770 |
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