Mcdonnell, Dwight Eric

Mcdonnell, Dwight Eric is an individual health care provider with primary practice located at One Champions Drive Ste. 100, Columbia MO 65211-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mcdonnell, Dwight Eric can be contacted via phone (573) 882-2375.

Contact Information

Primary practice address
One Champions Drive Ste. 100 Columbia MO 65211-0001
Phone: (573) 882-2375
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X TR000049 Missouri

Profile Details

NPI number 1417984386
LBN Legal business name Mcdonnell, Dwight Eric
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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