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Contact Information

CLINT VANLANDINGHAM
2600 KANELL BLVD
POPLAR BLUFF, MO63901-3001
 Phone: 573-785-4546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for CLINT VANLANDINGHAM · (Female)

NPI Number 1144283524
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2006
Last updated 05/15/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 2004001321
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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