Clelland, John David

Clelland, John David is an sole proprietor health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Clelland, John David can be contacted via phone (330) 573-1202.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235561804
LBN Legal business name Clelland, John David
Credentials SUB IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2013
Last updated Aug 6th, 2013 - about 11 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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