Whetmore, Clayton Earl

Whetmore, Clayton Earl is an individual health care provider with primary practice located at 1205 N Missouri St , Macon MO 63552-2095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Whetmore, Clayton Earl can be contacted via phone (660) 385-8700.

Contact Information

Primary practice address
1205 N Missouri St Macon MO 63552-2095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004030585 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004030585 Missouri

Profile Details

NPI number 1255407086
LBN Legal business name Whetmore, Clayton Earl
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Jan 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 1255407086 NPPES
Missouri Other 000012067 MEDICARE NON-RURAL HEALTH
Missouri Other 263834 MEDICARE NON-RURAL HEALTH
Missouri MEDICAID 242072627 MEDICARE NON-RURAL HEALTH
Missouri MEDICAID 591720800 MEDICARE NON-RURAL HEALTH
Missouri MEDICAID 501720809 MEDICARE NON-RURAL HEALTH

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