Clifton, Kent Douglas

Clifton, Kent Douglas is an individual health care provider with primary practice located at 1310 Chinook Ln , Pueblo CO 81001-1851. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clifton, Kent Douglas can be contacted via phone (719) 545-2746.

Contact Information

Primary practice address
1310 Chinook Ln Pueblo CO 81001-1851
Fax: (719) 423-1183
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1639678824
LBN Legal business name Clifton, Kent Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2018
Last updated Feb 2nd, 2018 - about 7 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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