Allred, Clint Will
Allred, Clint Will is an individual health care provider with primary practice located at 9850 W St Lukes Dr Ste 180 , Nampa ID 83687-7912. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Allred, Clint Will can be contacted via phone (208) 322-1680.Contact Information
Primary practice address
9850 W St Lukes Dr Ste 180
Nampa ID 83687-7912
Phone: (208) 322-1680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 8972456-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35120055 | Ohio |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 8972456-1205 | Utah |
Profile Details
| NPI number | 1609190172 |
|---|---|
| LBN Legal business name | Allred, Clint Will |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2010 |
| Last updated | Jul 1st, 2022 - about 2 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 | 1609190172 | NPPES |
| Ohio | MEDICAID | PENDING |
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