Clatterbuck, Richard Elwood
Clatterbuck, Richard Elwood is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Clatterbuck, Richard Elwood can be contacted via phone (601) 579-5459.Contact Information
Primary practice address
415 S 28Th Ave
Hattiesburg MS 39401-7246
Phone: (601) 579-5459
Fax: (601) 268-5733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 19675 | Mississippi |
Profile Details
| NPI number | 1205887338 |
|---|---|
| LBN Legal business name | Clatterbuck, Richard Elwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Jul 22nd, 2020 - about 5 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 | 1205887338 | NPPES |
| Mississippi | Other | 7210176 | ATENA |
| Mississippi | MEDICAID | 009913220 | ATENA |
| Mississippi | MEDICAID | 06778577 | ATENA |
| Mississippi | MEDICAID | 180401400 | ATENA |
Popular Providers
-
Horne, Dale S
3113 Bellevue Ave Ste 4100 , Cincinnati OH 45219-3286 -
Uddin, Mohammad Kaleem
36243 Inland Valley Dr Ste 210, Wildomar CA 92595-9549 -
Johnson, Daryl Aundra
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Brent, Charles R
1212 South 28Th Ave , Hattiesburg MS 39402 -
Page, Kimberly Ann
1388 Court St Suite H, Redding CA 96001-1660 -
Spatola, Mark A
2021 Kingsley Ave Ste 101, Orange Park FL 32073-5128 -
Toczyl, Gregory R
415 S 28Th Ave , Hattiesburg MS 39401-7246 -
Detwiler, Paul W
700 Olympic Plaza Cir Ste 850, Tyler TX 75701-1955