Clouse, John W
Clouse, John W is an individual health care provider with primary practice located at 5057 S Glenhaven Ave , Springfield MO 65804-7800. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Clouse, John W can be contacted via phone (417) 887-7914.Contact Information
Primary practice address
5057 S Glenhaven Ave
Springfield MO 65804-7800
Phone: (417) 887-7914
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | R5B59 | Missouri |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | R5B59 | Missouri |
Profile Details
NPI number | 1144224569 |
---|---|
LBN Legal business name | Clouse, John W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Jan 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144224569 | NPPES |
Missouri | MEDICAID | 201574423 | |
Missouri | Other | 148380071 |
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