Southworth, William F

Southworth, William F is an individual health care provider with primary practice located at 1151 Hazel Lane , Farmington, Mo MO 63640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Southworth, William F can be contacted via phone (573) 747-1777.

Contact Information

Primary practice address
1151 Hazel Lane Farmington, Mo MO 63640
Phone: (573) 747-1777
Fax: (573) 747-1077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036060822 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R7100 Missouri

Profile Details

NPI number 1265499347
LBN Legal business name Southworth, William F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 10th, 2015 - 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 1265499347 NPPES
Missouri Other P00646568 RR PTAN
Missouri Other 000013185 RR PTAN
Missouri Other 131850001 RR PTAN
Missouri Other 1881863009 RR PTAN
Missouri Other CI7050 RR PTAN
Missouri Other P00847517 RR PTAN
Missouri MEDICAID 1265499347 RR PTAN

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