1538145537 NPI number — MRS. STEPHANIE J. KLOPFER MED, LPC

Table of content: HANNAH SINCLAIR DPT (NPI 1467268318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538145537 NPI number — MRS. STEPHANIE J. KLOPFER MED, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KLOPFER
Provider First Name:
STEPHANIE
Provider Middle Name:
J.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MED, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538145537
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 MAC BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEVADA
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64772-3990
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-667-2262
Provider Business Mailing Address Fax Number:
417-667-6515

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 COMMUNITY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLINTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64735-8804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
660-890-8183
Provider Business Practice Location Address Fax Number:
816-318-3109
Provider Enumeration Date:
12/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2000169031 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 454695 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6082C10 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 499087609 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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