Clifford, Christine A
Clifford, Christine A is an individual health care provider with primary practice located at 3840 Hulen St Htn, Client Accounting, Fort Worth TX 76107-7277. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clifford, Christine A can be contacted via phone (817) 569-4395.Contact Information
Primary practice address
3840 Hulen St Htn, Client Accounting
Fort Worth TX 76107-7277
Phone: (817) 569-4395
Fax: (817) 569-4517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DT04323 | Texas |
Profile Details
| NPI number | 1154464279 |
|---|---|
| LBN Legal business name | Clifford, Christine A |
| Credentials | R.D., L.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Apr 20th, 2010 - about 14 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 | 1154464279 | NPPES |
| Texas | MEDICAID | 004945401 | |
| Texas | Other | 8J3513 |
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