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Contact Information

NEOSHO BONE & JOINT CLINIC P.C.
4040 LAQUESTA DRIVE
NEOSHO, MO64850
 Phone: 417-451-1833
 Fax: 417-451-1825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for NEOSHO BONE JOINT CLINIC PC · (Female)

NPI Number 1356599641
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2008
Last updated 08/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R9N57
  • MO Medicaid 246862114
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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