Clavenna, George B
Clavenna, George B is an individual health care provider with primary practice located at 6200 Westown Pkwy , West Des Moines IA 50266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clavenna, George B can be contacted via phone (515) 223-8685.Contact Information
Primary practice address
6200 Westown Pkwy
West Des Moines IA 50266
Phone: (515) 223-8685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 02159 | Iowa |
Profile Details
| NPI number | 1831181627 |
|---|---|
| LBN Legal business name | Clavenna, George B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jul 16th, 2018 - about 6 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 | 1831181627 | NPPES |
| Iowa | Other | 180004154 | RR MEDICARE |
| Iowa | MEDICAID | 0238295 | RR MEDICARE |
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