Davis, Clifton R.

Davis, Clifton R. is an individual health care provider with primary practice located at 933 E Pierce St , Council Bluffs IA 51503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Davis, Clifton R. can be contacted via phone (712) 396-4360.

Contact Information

Primary practice address
933 E Pierce St Council Bluffs IA 51503
Phone: (712) 396-4360
Fax: (712) 396-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-46644 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD-46644 Iowa

Profile Details

NPI number 1083077358
LBN Legal business name Davis, Clifton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2016
Last updated Nov 7th, 2019 - about 5 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 1083077358 NPPES
Iowa MEDICAID 1083077358
Iowa MEDICAID 10026327300

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