Clayton, Charles

Clayton, Charles is an individual health care provider with primary practice located at 2827 W Cheltenham Ave , Wyncote PA 19095-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clayton, Charles can be contacted via phone (215) 884-8815.

Contact Information

Primary practice address
2827 W Cheltenham Ave Wyncote PA 19095-2931
Phone: (215) 884-8815
Fax: (215) 884-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD037419L Pennsylvania

Profile Details

NPI number 1437112265
LBN Legal business name Clayton, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 18th, 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 1437112265 NPPES
Pennsylvania Other 093548 BLUE CROSS/BLUE SHIELD
Pennsylvania MEDICAID 0615552 BLUE CROSS/BLUE SHIELD

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