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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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 1588838627 NPPES
Arkansas MEDICAID 2850377001

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