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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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