National Provider Identifier Database

CAPITAL REGION RESIDENT CLINIC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

CAPITAL REGION RESIDENT CLINIC
220 MADISON ST.
JEFFERSON CITY, MO65102
Phone: 573-632-4900
Fax: 573-644-6650
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for CAPITAL REGION RESIDENT CLINIC

NPI Number 1649514050
Legal business name
LBN
CAPITAL REGION RESIDENT CLINIC
Authorized official TOM LUEBBERING - (VP OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 11/26/2012
Last updated 06/10/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers 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.

Reviews for CAPITAL REGION RESIDENT CLINIC

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