Clouse, Cathleen Renee

Clouse, Cathleen Renee is an individual health care provider with primary practice located at 15290 Pennock Ln , Apple Valley MN 55124-7163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clouse, Cathleen Renee can be contacted via phone (952) 853-8800.

Contact Information

Primary practice address
15290 Pennock Ln Apple Valley MN 55124-7163
Fax: (952) 431-6966
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 43288 Minnesota

Profile Details

NPI number 1346204120
LBN Legal business name Clouse, Cathleen Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 31st, 2022 - about 4 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 1346204120 NPPES
Minnesota MEDICAID 165186200

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