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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 17 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 1366587834 NPPES
Alaska MEDICAID OT8794

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