Clutts, David D
Clutts, David D is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clutts, David D can be contacted via phone (618) 549-5361.Contact Information
Primary practice address
2601 W Main St
Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36-078587 | Illinois |
Profile Details
NPI number | 1407822406 |
---|---|
LBN Legal business name | Clutts, David D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Jul 7th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407822406 | NPPES |
Illinois | Other | 027516 | HEALTH ALLIANCE |
Illinois | MEDICAID | 036078587 | HEALTH ALLIANCE |
Illinois | Other | 3932056 | HEALTH ALLIANCE |
Illinois | Other | 7210895 | HEALTH ALLIANCE |
Illinois | Other | 20016640 | HEALTH ALLIANCE |
Illinois | Other | 142410 | HEALTH ALLIANCE |
Illinois | Other | 324130 | HEALTH ALLIANCE |
Illinois | Other | 42496 | HEALTH ALLIANCE |
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