Field, Clinton E.

Field, Clinton E. is an individual health care provider with primary practice located at 1350 N 500 E , Logan UT 84341-2400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Field, Clinton E. can be contacted via phone (435) 752-0422.

Contact Information

Primary practice address
1350 N 500 E Logan UT 84341-2400
Phone: (435) 752-0422
Fax: (435) 792-1615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 58050222501 Utah

Profile Details

NPI number 1467656900
LBN Legal business name Field, Clinton E.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated May 14th, 2024 - about last year

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 1467656900 NPPES
Utah Other 58050222501 BCBS
Utah MEDICAID 876000528059 BCBS

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