Clifford, Heidi Ellen
Clifford, Heidi Ellen is an individual health care provider with primary practice located at 6311 Debarr Rd Ste J Russian Jack Plaza, Anchorage AK 99504-1777. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clifford, Heidi Ellen can be contacted via phone (907) 350-3840.Contact Information
Primary practice address
6311 Debarr Rd Ste J Russian Jack Plaza
Anchorage AK 99504-1777
Phone: (907) 350-3840
Fax: (907) 337-0493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 479 | Alaska |
Profile Details
| NPI number | 1366587834 |
|---|---|
| LBN Legal business name | Clifford, Heidi Ellen |
| Credentials | OT L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1366587834 | NPPES |
| Alaska | MEDICAID | OT8794 |
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