Clines, Damon C
Clines, Damon C is an sole proprietor health care provider with primary practice located at 4510 Delmar Blvd , Saint Louis MO 63108-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clines, Damon C can be contacted via phone (314) 454-6903.Contact Information
Primary practice address
4510 Delmar Blvd
Saint Louis MO 63108-1702
Phone: (314) 454-6903
Fax: (314) 454-6652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 107492 | Missouri |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-092178 | Illinois |
Profile Details
| NPI number | 1508800582 |
|---|---|
| LBN Legal business name | Clines, Damon C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 24th, 2016 - about 8 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 | 1508800582 | NPPES |
| Missouri | MEDICAID | 208107912 | |
| Missouri | Other | P00156563 |
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