Clayton, Michael Dewit

Clayton, Michael Dewit is an individual health care provider with primary practice located at 77 Casa St Suite 202, San Luis Obispo CA 93405-5803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Clayton, Michael Dewit can be contacted via phone (805) 786-2500.

Contact Information

Primary practice address
77 Casa St Suite 202 San Luis Obispo CA 93405-5803
Phone: (805) 786-2500
Fax: (805) 781-0423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A45346 California

Profile Details

NPI number 1609967447
LBN Legal business name Clayton, Michael Dewit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609967447 NPPES
California MEDICAID 00A453460

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