Carlile, John R.

Carlile, John R. is an individual health care provider with primary practice located at 1000 E. Primrose #200, Springfield MO 65807-5388. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Carlile, John R. can be contacted via phone (417) 269-1010.

Contact Information

Primary practice address
1000 E. Primrose #200 Springfield MO 65807-5388
Phone: (417) 269-1010
Fax: (417) 269-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X R8242 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 14730 Nevada

Profile Details

NPI number 1558309898
LBN Legal business name Carlile, John R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 1st, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558309898 NPPES
Missouri Other 196616 BLUE SHIELD
Missouri Other 701434 BLUE SHIELD
Missouri MEDICAID 100199150 A BLUE SHIELD
Missouri Other 196616 BLUE SHIELD
Missouri MEDICAID 202969408 BLUE SHIELD

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