Clinkscales, Norman Bull

Clinkscales, Norman Bull is an individual health care provider with primary practice located at 1005 Mar Walt Drive Radiology Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Clinkscales, Norman Bull can be contacted via phone (850) 863-8110.

Contact Information

Primary practice address
1005 Mar Walt Drive Radiology Department Fort Walton Beach FL 32547-6707
Fax: (850) 863-8245
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME101381 Florida

Profile Details

NPI number 1588640759
LBN Legal business name Clinkscales, Norman Bull
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 16th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588640759 NPPES
Florida Other 30501 BCBSFL
Florida MEDICAID 000061900 BCBSFL

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