National Provider Identifier Database

EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
25610 PARK RD N
LAWSON, MO64062-8938
Phone: 816-630-6722
Fax:
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC

NPI Number 1851860498
Legal business name
LBN
EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC
Authorized official CAMERON MEYER - (CFO)
Entity Organization
Organization subpart No
Enumeration date 11/13/2018
Last updated 11/13/2018 - About 8 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.

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