Cline, Edward A

Cline, Edward A is an sole proprietor health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cline, Edward A can be contacted via phone (573) 629-3500.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Fax: (573) 629-3514
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000745 Missouri

Profile Details

NPI number 1306849971
LBN Legal business name Cline, Edward A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Jun 10th, 2011 - about 14 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 1306849971 NPPES
Missouri MEDICAID 3096700016

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