Clonch, Linda Sue

Clonch, Linda Sue is an individual health care provider with primary practice located at 130 Health Park Blvd , St Augustine FL 32086-5776. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clonch, Linda Sue can be contacted via phone (904) 826-3469.

Contact Information

Primary practice address
130 Health Park Blvd St Augustine FL 32086-5776
Phone: (904) 826-3469
Fax: (904) 808-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME48434 Florida

Profile Details

NPI number 1487611166
LBN Legal business name Clonch, Linda Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 23rd, 2008 - about 16 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 1487611166 NPPES
Florida MEDICAID 044248800
Florida Other 080096187

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