Clifford, Mark Edwin
Clifford, Mark Edwin is an sole proprietor health care provider with primary practice located at 2491 Dixie Hwy , Fort Mitchell KY 41017-3056. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clifford, Mark Edwin can be contacted via phone (859) 331-5400.Contact Information
Primary practice address
2491 Dixie Hwy
Fort Mitchell KY 41017-3056
Phone: (859) 331-5400
Fax: (859) 331-5400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4429 | Kentucky |
Profile Details
| NPI number | 1235311127 |
|---|---|
| LBN Legal business name | Clifford, Mark Edwin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Mar 11th, 2019 - about 5 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 | 1235311127 | NPPES |
| Kentucky | MEDICAID | 85044295 |
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