Mccluskey, Todd D

Mccluskey, Todd D is an individual health care provider with primary practice located at 3308 W Edgewood Dr Suite B, Jefferson City MO 65109-6891. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mccluskey, Todd D can be contacted via phone (573) 893-7848.

Contact Information

Primary practice address
3308 W Edgewood Dr Suite B Jefferson City MO 65109-6891
Phone: (573) 893-7848
Fax: (573) 893-1984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2742 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48304 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9F28 Missouri

Profile Details

NPI number 1003882200
LBN Legal business name Mccluskey, Todd D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 11th, 2016 - about 8 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 1003882200 NPPES
South Dakota MEDICAID 5300890

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