Staudenmeier, James Joseph
Staudenmeier, James Joseph is an sole proprietor health care provider with primary practice located at 243 Dover Rd , Clarksville TN 37042-4155. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Staudenmeier, James Joseph can be contacted via phone (931) 905-4646.Contact Information
Primary practice address
243 Dover Rd
Clarksville TN 37042-4155
Phone: (931) 905-4646
Fax: (833) 278-1934
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46702 | Kentucky |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 2013022890 | Missouri |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 46702 | Kentucky |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 2013022890 | Missouri |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 46702 | Kentucky |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2013022890 | Missouri |
Profile Details
| NPI number | 1174514657 |
|---|---|
| LBN Legal business name | Staudenmeier, James Joseph |
| Credentials | M.D., MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 25th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174514657 | NPPES |
| Tennessee | MEDICAID | Q037630 | |
| Tennessee | MEDICAID | 210425001 | |
| Tennessee | MEDICAID | 1174514657 | |
| Tennessee | MEDICAID | 7100344430 |
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