Chai, Clara Boo
Chai, Clara Boo is an individual health care provider with primary practice located at General Leonard Wood Army Community Hospital 4430 Missouri Ave, #1267, Fort Leonard Wood MO 65473. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Chai, Clara Boo can be contacted via phone (573) 596-0035.Contact Information
Primary practice address
General Leonard Wood Army Community Hospital 4430 Missouri Ave, #1267
Fort Leonard Wood MO 65473
Phone: (573) 596-0035
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1174414 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA61169528 | Washington |
Profile Details
NPI number | 1770192759 |
---|---|
LBN Legal business name | Chai, Clara Boo |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2020 |
Last updated | Feb 2nd, 2024 - about last year |
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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