Decarlis, Todd Phillip
Decarlis, Todd Phillip is an individual health care provider with primary practice located at 2900 S National Ave , Springfield MO 65804-3634. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Decarlis, Todd Phillip can be contacted via phone (417) 885-3888.Contact Information
Primary practice address
2900 S National Ave
Springfield MO 65804-3634
Phone: (417) 885-3888
Fax: (417) 881-7638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2013003532 | Missouri |
Profile Details
NPI number | 1598004152 |
---|---|
LBN Legal business name | Decarlis, Todd Phillip |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2013 |
Last updated | Feb 1st, 2013 - about 12 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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