Burgoon, Clayton Reece

Burgoon, Clayton Reece is an sole proprietor health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65201-5276. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant, which is considered as his primary health care specialty. Burgoon, Clayton Reece can be contacted via phone (573) 882-4141.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65201-5276
Phone: (573) 882-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiology Practitioner Assistant 243U00000X MRA02000029 Texas

Profile Details

NPI number 1275106650
LBN Legal business name Burgoon, Clayton Reece
Credentials Registered Record Administrator (RRA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2021
Last updated Jul 22nd, 2021 - about 4 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 1275106650 NPPES
Other NA NA

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