Dryden, Jeffrey L

Dryden, Jeffrey L is an individual health care provider with primary practice located at 1100 N Kentucky Ave , West Plains MO 65775-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dryden, Jeffrey L can be contacted via phone (417) 256-9111.

Contact Information

Primary practice address
1100 N Kentucky Ave West Plains MO 65775-2029
Fax: (417) 257-5999
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R5D34 Missouri

Profile Details

NPI number 1316923956
LBN Legal business name Dryden, Jeffrey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316923956 NPPES
Missouri MEDICAID 1316923956
Missouri MEDICAID 125592003

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