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Contact Information

SOUTHEAST MISSOURI HEALTH NETWORK
111 PRAIRIE DRIVE
EAST PRAIRIE, MO63845
 Phone: 573-649-9311
 Fax: 573-649-9331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SOUTHEAST MISSOURI HEALTH NETWORK · (Female)

NPI Number 1679019491
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2017
Last updated 11/09/2017 - About 9 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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