Amos, Clifford
Amos, Clifford is an individual health care provider with primary practice located at 200 Harry S Truman Pkwy , Annapolis MD 21401-7601. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Amos, Clifford can be contacted via phone (410) 897-0272.Contact Information
Primary practice address
200 Harry S Truman Pkwy
Annapolis MD 21401-7601
Phone: (410) 897-0272
Fax: (410) 897-1968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 102426 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102426 | North Carolina |
Profile Details
| NPI number | 1023098514 |
|---|---|
| LBN Legal business name | Amos, Clifford |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Feb 17th, 2021 - about 4 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 | 1023098514 | NPPES |
| North Carolina | Other | 1736V | BCBS |
| North Carolina | MEDICAID | 887475100 | BCBS |
| North Carolina | MEDICAID | 8102548 | BCBS |
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