Clifton, Bruce Alan
Clifton, Bruce Alan is an sole proprietor health care provider with primary practice located at 421 N Lynn Riggs Blvd , Claremore OK 74017-5617. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clifton, Bruce Alan can be contacted via phone (918) 343-7300.Contact Information
Primary practice address
421 N Lynn Riggs Blvd
Claremore OK 74017-5617
Phone: (918) 343-7300
Fax: (918) 343-7337
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2009 | Oklahoma |
Profile Details
NPI number | 1912092727 |
---|---|
LBN Legal business name | Clifton, Bruce Alan |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Dec 4th, 2013 - about 11 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 | 1912092727 | NPPES |
Oklahoma | MEDICAID | 100765080A |
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