Cloud, Clinton Michael

Cloud, Clinton Michael is an individual health care provider with primary practice located at 3800 S National Ave Ste 510 , Springfield MO 65807-5284. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cloud, Clinton Michael can be contacted via phone (417) 875-3160.

Contact Information

Primary practice address
3800 S National Ave Ste 510 Springfield MO 65807-5284
Phone: (417) 875-3160
Fax: (417) 875-3410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1538793880
LBN Legal business name Cloud, Clinton Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2020
Last updated Mar 24th, 2020 - about 6 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 1538793880 NPPES
Missouri MEDICAID 220081103

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