Clayshulte, John K
Clayshulte, John K is an individual health care provider with primary practice located at 2240 Grande Blvd Se Ste 106 , Rio Rancho NM 87124-1751. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clayshulte, John K can be contacted via phone (505) 545-6741.Contact Information
Primary practice address
2240 Grande Blvd Se Ste 106
Rio Rancho NM 87124-1751
Phone: (505) 545-6741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2014-0058 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 60632876 | Washington |
Profile Details
| NPI number | 1700033156 |
|---|---|
| LBN Legal business name | Clayshulte, John K |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Feb 15th, 2023 - 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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