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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI # 1356599641
LBN Legal business name NEOSHO BONE & JOINT CLINIC P.C.
Authorized official HORACE PETERSEN - (ORTHOPEDIC SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2008
Last updated 08/29/2008 - About 18 years ago
Identifiers
MO License # R9N57
MO Medicaid 246862114
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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