Cloven, Thomas W.

Cloven, Thomas W. is an individual health care provider with primary practice located at 505 S. Plummer Ave , Chanute KS 66720-1950. 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. Cloven, Thomas W. can be contacted via phone (620) 431-4418.

Contact Information

Primary practice address
505 S. Plummer Ave Chanute KS 66720-1950
Phone: (620) 431-4418
Fax: (620) 431-4418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00720 Kansas

Profile Details

NPI number 1396833505
LBN Legal business name Cloven, Thomas W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 28th, 2011 - about 13 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 1396833505 NPPES
Other P00347392 RR MC
MEDICAID 100385740B RR MC

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