Provider Demographics
NPI:1629371570
Name:DREW CONSULTING LLC
Entity Type:Organization
Organization Name:DREW CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DREW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:417-425-7041
Mailing Address - Street 1:625 S CONROY AVE
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:MO
Mailing Address - Zip Code:65738-2684
Mailing Address - Country:US
Mailing Address - Phone:417-425-7040
Mailing Address - Fax:
Practice Address - Street 1:625 S CONROY AVE
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:MO
Practice Address - Zip Code:65738-2684
Practice Address - Country:US
Practice Address - Phone:417-425-7040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2011-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7H47207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty