Strupp, Clifford

Strupp, Clifford is an sole proprietor health care provider with primary practice located at 777 S New Ballas Rd Ste 119W , Saint Louis MO 63141-8715. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Strupp, Clifford can be contacted via phone (314) 942-8880.

Contact Information

Primary practice address
777 S New Ballas Rd Ste 119W Saint Louis MO 63141-8715
Phone: (314) 942-8880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2017038041 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2017038041 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2017038041 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2017038041 Missouri

Profile Details

NPI number 1184136558
LBN Legal business name Strupp, Clifford
Credentials MD, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2017
Last updated Feb 16th, 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 1184136558 NPPES
Missouri Other 2017038041 MISSOURI BOARD OF HEALING ARTS
Missouri MEDICAID 220050391 MISSOURI BOARD OF HEALING ARTS

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