Clinkenbeard, Tom

Clinkenbeard, Tom is an individual health care provider with primary practice located at 2591 Eldorado Springs Dr , Loveland CO 80538-5321. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Clinkenbeard, Tom can be contacted via phone (970) 391-6838.

Contact Information

Primary practice address
2591 Eldorado Springs Dr Loveland CO 80538-5321
Phone: (970) 391-6838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1639542988
LBN Legal business name Clinkenbeard, Tom
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Dec 18th, 2015 - about 9 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 1639542988 NPPES
Colorado MEDICAID 77279263

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