Brittain, Clifford Mark
Brittain, Clifford Mark is an individual health care provider with primary practice located at 644 Statesville Blvd Ste 3, Salisbury NC 28144-2280. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brittain, Clifford Mark can be contacted via phone (704) 633-8975.Contact Information
Primary practice address
644 Statesville Blvd Ste 3
Salisbury NC 28144-2280
Phone: (704) 633-8975
Fax: (704) 633-9160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1178 | North Carolina |
Profile Details
| NPI number | 1568411981 |
|---|---|
| LBN Legal business name | Brittain, Clifford Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Nov 5th, 2008 - about 16 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 | 1568411981 | NPPES |
| North Carolina | MEDICAID | 89-09108 |
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