Adcock, Christine Helen

Adcock, Christine Helen is an individual health care provider with primary practice located at 805 Kentucky Ave , West Plains MO 65775. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adcock, Christine Helen can be contacted via phone (417) 256-2111.

Contact Information

Primary practice address
805 Kentucky Ave West Plains MO 65775
Fax: (417) 256-4858
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN117506 Missouri

Profile Details

NPI number 1518961267
LBN Legal business name Adcock, Christine Helen
Credentials RN, MSN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 9th, 2007 - about 17 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 1518961267 NPPES
Missouri MEDICAID 599022308
Missouri MEDICAID 599022307
Missouri MEDICAID 425685617

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