Thornburg, Clay Owen
Thornburg, Clay Owen is an sole proprietor health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Thornburg, Clay Owen can be contacted via phone (573) 221-5250.Contact Information
Primary practice address
100 Medical Dr
Hannibal MO 63401-6877
Phone: (573) 221-5250
Fax: (573) 231-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2020023348 | Missouri |
Profile Details
| NPI number | 1710596424 |
|---|---|
| LBN Legal business name | Thornburg, Clay Owen |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2020 |
| Last updated | Jul 25th, 2022 - about 2 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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