Clutter, David J

Clutter, David J is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clutter, David J can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9323 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45703 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5340 North Dakota

Profile Details

NPI number 1700802634
LBN Legal business name Clutter, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 18th, 2012 - 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 1700802634 NPPES
North Dakota Other 2346 NDBS #
North Dakota Other 676556 NDBS #
North Dakota Other 9601 NDBS #
North Dakota Other 28732CL NDBS #
North Dakota Other DA9011015522 NDBS #
North Dakota MEDICAID 15305 NDBS #
North Dakota Other 27359CL NDBS #
North Dakota Other HP19524 NDBS #
North Dakota Other ND100001 NDBS #
North Dakota Other 1201179 NDBS #
North Dakota Other 1201796 NDBS #
North Dakota Other 10424 NDBS #
North Dakota Other 142003 NDBS #
North Dakota Other 49788CL NDBS #
North Dakota MEDICAID 694882100 NDBS #
North Dakota Other 92799CL NDBS #

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