Scanlon, Clayton Greer

Scanlon, Clayton Greer is an sole proprietor health care provider with primary practice located at 1224 Graham Rd 3011, Florissant MO 63031-8028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Scanlon, Clayton Greer can be contacted via phone (314) 839-1211.

Contact Information

Primary practice address
1224 Graham Rd 3011 Florissant MO 63031-8028
Phone: (314) 839-1211
Fax: (314) 893-8429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2014015320 Missouri

Profile Details

NPI number 1073778460
LBN Legal business name Scanlon, Clayton Greer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2008
Last updated Sep 28th, 2022 - about 3 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 1073778460 NPPES
Tennessee MEDICAID 1529171
Tennessee MEDICAID 09488897
Tennessee MEDICAID 194545001

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