Dick, Jeffrey Clayton

Dick, Jeffrey Clayton is an individual health care provider with primary practice located at 4010 W 65Th St , Edina MN 55435-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Dick, Jeffrey Clayton can be contacted via phone (952) 456-7000.

Contact Information

Primary practice address
4010 W 65Th St Edina MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 32128 Minnesota

Profile Details

NPI number 1891802989
LBN Legal business name Dick, Jeffrey Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 21st, 2022 - about 2 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 1891802989 NPPES
Other 73B07DI BLUE CROSS BLUE SHIELD
Other 969991000407 BLUE CROSS BLUE SHIELD
Other 911931 BLUE CROSS BLUE SHIELD
Other HP13159 BLUE CROSS BLUE SHIELD
MEDICAID 699363000 BLUE CROSS BLUE SHIELD
Other 102891E948 BLUE CROSS BLUE SHIELD

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