Clevinger, Ernest Claude

Clevinger, Ernest Claude is an individual health care provider with primary practice located at 174 Thomas Johnson Dr Suite 100, Frederick MD 21702-4423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clevinger, Ernest Claude can be contacted via phone (301) 668-9380.

Contact Information

Primary practice address
174 Thomas Johnson Dr Suite 100 Frederick MD 21702-4423
Fax: (301) 668-9480
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D57647 Maryland

Profile Details

NPI number 1235176769
LBN Legal business name Clevinger, Ernest Claude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Oct 3rd, 2011 - about 13 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 1235176769 NPPES
Maryland MEDICAID 886503500

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