Clouse, Jeremy C

Clouse, Jeremy C is an sole proprietor health care provider with primary practice located at 409 N Byers Ave , Joplin MO 64801-2713. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clouse, Jeremy C can be contacted via phone (417) 359-6658.

Contact Information

Primary practice address
409 N Byers Ave Joplin MO 64801-2713
Phone: (417) 359-6658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 200601845 Missouri

Profile Details

NPI number 1619053014
LBN Legal business name Clouse, Jeremy C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Apr 25th, 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.

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