National Provider Identifier Database

NEOSHO BONE JOINT CLINIC PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


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
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for NEOSHO BONE & JOINT CLINIC P.C.

NPI Number 1356599641
Legal business name
LBN
NEOSHO BONE & JOINT CLINIC P.C.
Authorized official HORACE PETERSEN - (ORTHOPEDIC SURGEON)
Entity Organization
Organization subpart No
Enumeration date 08/29/2008
Last updated 08/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: R9N57
  • MO Medicaid: 246862114

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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