Clouse, Troy D

Clouse, Troy D is an individual health care provider with primary practice located at 600 East Blvd Emergency Department, Elkhart IN 46514-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clouse, Troy D can be contacted via phone (574) 523-3161.

Contact Information

Primary practice address
600 East Blvd Emergency Department Elkhart IN 46514-2483
Phone: (574) 523-3161
Fax: (574) 523-3221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01053909 Indiana

Profile Details

NPI number 1750373833
LBN Legal business name Clouse, Troy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 20th, 2011 - about 13 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 1750373833 NPPES
Michigan MEDICAID 104311635
Michigan Other 930106366
Michigan Other 000000196952
Michigan MEDICAID 200332130

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