Klontz, William Joseph

Klontz, William Joseph is an individual health care provider with primary practice located at 5615 W 32Nd St , Joplin MO 64804-8161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Klontz, William Joseph can be contacted via phone (417) 627-8400.

Contact Information

Primary practice address
5615 W 32Nd St Joplin MO 64804-8161
Phone: (417) 627-8400
Fax: (417) 623-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R4D32 Missouri

Profile Details

NPI number 1922001635
LBN Legal business name Klontz, William Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 13th, 2015 - about 9 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 1922001635 NPPES
Missouri MEDICAID 201882701
Missouri MEDICAID 100081340F
Missouri MEDICAID 100197560A

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