Timothy Pat Clary in Saint Joseph - Medical
Timothy Pat Clary - NPI 1750343695
Timothy Pat Clary is a Medical in Saint Joseph, Missouri. Timothy Pat Clary practices all healthcare services and medical treatments related to Medical. The NPI Number for Timothy Pat Clary is 1750343695. The last update date is 2018-03-17.
Timothy Pat Clary's current location address is 5325 Faraon St, Saint Joseph, Missouri. You can contact this provider via phone number 8162716122 and fax number 8162716019. The mailing address for Timothy Pat Clary is 5325 Faraon St, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Pat Clary |
|---|---|
| Address | 5325 Faraon St, Saint Joseph, Missouri |
| Phone Number | 8162716122 |
| Fax Number | 8162716019 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1750343695 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 5325 Faraon St |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645063488 |
| Phone Number | 8162716122 |
| Fax Number | 8162716019 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 15-00296 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042G3 | MO | PHYSICIAN ASSISTANT |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Timothy Pat Clary by the Centers for Medicare & Medicaid Services?
The Timothy Pat Clary has been assigned the NPI (National Provider Identifier) 1750343695 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Timothy Pat Clary's facilities are situated?
The facilities of Timothy Pat Clary are physically located at the following address: 5325 Faraon St, Saint Joseph, MO, 645063488.
What is Timothy Pat Clary's area of expertise and its corresponding taxonomy classification?
The Timothy Pat Clary's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1750343695 assigned to Timothy Pat Clary?
The Timothy Pat Clary was issued its 1750343695 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Timothy Pat Clary, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Timothy Pat Clary, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-17.