Carlile, John R.
Carlile, John R. is an individual health care provider with primary practice located at 1000 E. Primrose #200, Springfield MO 65807-5388. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Carlile, John R. can be contacted via phone (417) 269-1010.Contact Information
Primary practice address
1000 E. Primrose #200
Springfield MO 65807-5388
Phone: (417) 269-1010
Fax: (417) 269-6755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | R8242 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 14730 | Nevada |
Profile Details
| NPI number | 1558309898 |
|---|---|
| LBN Legal business name | Carlile, John R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 1st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558309898 | NPPES |
| Missouri | Other | 196616 | BLUE SHIELD |
| Missouri | Other | 701434 | BLUE SHIELD |
| Missouri | MEDICAID | 100199150 A | BLUE SHIELD |
| Missouri | Other | 196616 | BLUE SHIELD |
| Missouri | MEDICAID | 202969408 | BLUE SHIELD |
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