Allen, Clinton Joseph

Allen, Clinton Joseph is an individual health care provider with primary practice located at 401 Northwood Dr , Centre AL 35960-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Allen, Clinton Joseph can be contacted via phone (256) 927-3607.

Contact Information

Primary practice address
401 Northwood Dr Centre AL 35960-1022
Fax: (256) 927-3606
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25463 Alabama

Profile Details

NPI number 1679598775
LBN Legal business name Allen, Clinton Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 31st, 2011 - about 14 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 1679598775 NPPES
Alabama MEDICAID 009996745
Alabama Other 51001409

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