Anderson, Clayton Manning

Anderson, Clayton Manning is an individual health care provider with primary practice located at 784 W Main St , Mt Pleasant PA 15666. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Anderson, Clayton Manning can be contacted via phone (724) 547-6130.

Contact Information

Primary practice address
784 W Main St Mt Pleasant PA 15666
Phone: (724) 547-6130
Fax: (724) 587-4750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000579 Pennsylvania

Profile Details

NPI number 1093827149
LBN Legal business name Anderson, Clayton Manning
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 11th, 2013 - about 12 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 1093827149 NPPES
Other 410020130 PALMETTO GBA
Other 0587150001 PALMETTO GBA
Other 77432 PALMETTO GBA
Other PA0579 PALMETTO GBA
Other 50552 PALMETTO GBA
Other 0013245 PALMETTO GBA
Other 391976 PALMETTO GBA
Other AN146070 PALMETTO GBA

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