Clouser, Connor
Clouser, Connor is an individual health care provider with primary practice located at 5305 W Village Pkwy , Rogers AR 72758-8102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Clouser, Connor can be contacted via phone (479) 480-4892.Contact Information
Primary practice address
5305 W Village Pkwy
Rogers AR 72758-8102
Phone: (479) 480-4892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 214552 | Arkansas |
Profile Details
| NPI number | 1134718968 |
|---|---|
| LBN Legal business name | Clouser, Connor |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2021 |
| Last updated | Mar 4th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134718968 | NPPES |
| Arkansas | MEDICAID | 261296758 | |
| Arkansas | MEDICAID | 420098637 |
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