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Contact Information

CARTHAGE CHILDREN'S CLINIC, LLC
1221 OAK ST
CARTHAGE, MO64836-2028
 Phone: 417-359-9291
 Fax: 417-359-9241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARTHAGE CHILDRENS CLINIC LLC · (Female)

NPI Number 1073916623
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2014
Last updated 09/26/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R7F62
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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