Clutter, Justin D

Clutter, Justin D is an individual health care provider with primary practice located at 1401 Harrodsburg Rd Suite C205, Lexington KY 40504-3751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Clutter, Justin D can be contacted via phone (859) 278-4869.

Contact Information

Primary practice address
1401 Harrodsburg Rd Suite C205 Lexington KY 40504-3751
Phone: (859) 278-4869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 41865 Kentucky

Profile Details

NPI number 1659377000
LBN Legal business name Clutter, Justin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 12th, 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 1659377000 NPPES
Kentucky MEDICAID 7100039470

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