Cantrell, Joshua Clyde

Cantrell, Joshua Clyde is an individual health care provider with primary practice located at 215 Se State Route 291 , Lees Summit MO 64063-2939. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cantrell, Joshua Clyde can be contacted via phone (816) 246-7779.

Contact Information

Primary practice address
215 Se State Route 291 Lees Summit MO 64063-2939
Phone: (816) 246-7779
Fax: (816) 246-7780
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MO2003000960 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 1616 Kansas

Profile Details

NPI number 1326087594
LBN Legal business name Cantrell, Joshua Clyde
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326087594 NPPES
Missouri Other 33864028 BCBS

Popular Providers