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Contact Information

HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI, LLC
1905 W 32ND ST STE 103
JOPLIN, MO64804-1594
 Phone: 904-446-3451
 Fax: 904-446-3032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HEALOGICS SPECIALTY PHYSICIANS OF MISSOURI LLC · (Female)

NPI # 1528468311
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2014
Last updated 06/01/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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