Phelan, Nathaniel
Phelan, Nathaniel is an individual health care provider with primary practice located at 520 E 32Nd St , Joplin MO 64804-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Phelan, Nathaniel can be contacted via phone (417) 622-0293.Contact Information
Primary practice address
520 E 32Nd St
Joplin MO 64804-3904
Phone: (417) 622-0293
Fax: (833) 275-1784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2018014111 | Missouri |
Profile Details
| NPI number | 1225327422 |
|---|---|
| LBN Legal business name | Phelan, Nathaniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2011 |
| Last updated | Sep 15th, 2022 - about 4 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 | 1225327422 | NPPES |
| Missouri | Other | 2018014111 | DERMATOLOGY |
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