National Provider Identifier Database

CLINT L VANLANDINGHAM, DPM – NPI #1508838566
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

CLINT L VANLANDINGHAM, DPM
2600 KANELL BLVD
POPLAR BLUFF, MO63901-3001
Phone: 573-785-4546
Fax: 573-785-6959
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Family 363LF0000X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for CLINT L VANLANDINGHAM

NPI Number 1508838566
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/03/2006
Last updated 01/27/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 2004001321
  • MO License #: 2014037662
  • MO Medicaid: 309166510
Hospital affiliation n/a

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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