Clausen, Mitch Anthony
Clausen, Mitch Anthony is an sole proprietor health care provider with primary practice located at 2501 Brandenburg Ln , Newport AR 72112-2660. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Clausen, Mitch Anthony can be contacted via phone (870) 523-8495.Contact Information
Primary practice address
2501 Brandenburg Ln
Newport AR 72112-2660
Phone: (870) 523-8495
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Home Health | 251E00000X | Arkansas |
Profile Details
NPI number | 1588838627 |
---|---|
LBN Legal business name | Clausen, Mitch Anthony |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 19th, 2008 |
Last updated | Apr 19th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588838627 | NPPES |
Arkansas | MEDICAID | 2850377001 |
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