Cleaver, Jonathan Lloyd

Cleaver, Jonathan Lloyd is an individual health care provider with primary practice located at 1316 Country Club Dr , Kirksville MO 63501-5362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cleaver, Jonathan Lloyd can be contacted via phone (660) 627-7546.

Contact Information

Primary practice address
1316 Country Club Dr Kirksville MO 63501-5362
Phone: (660) 627-7546
Fax: (660) 956-7097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2010003182 Missouri

Profile Details

NPI number 1033431903
LBN Legal business name Cleaver, Jonathan Lloyd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2010
Last updated Jul 8th, 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 1033431903 NPPES
Missouri MEDICAID 1033431903

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