Friesen, Clayton Jose

Friesen, Clayton Jose is an individual health care provider with primary practice located at 3515 Richmond Circle , Grand Island NE 68803-4965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Friesen, Clayton Jose can be contacted via phone (308) 381-8636.

Contact Information

Primary practice address
3515 Richmond Circle Grand Island NE 68803-4965
Phone: (308) 381-8636
Fax: (308) 381-8622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22964 Nebraska
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22964 Nebraska

Profile Details

NPI number 1073695037
LBN Legal business name Friesen, Clayton Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 18th, 2012 - about 13 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 1073695037 NPPES
Nebraska MEDICAID 47070592301
Nebraska MEDICAID 10026072300
Nebraska MEDICAID 47070592300
Nebraska MEDICAID 47070592305
Nebraska MEDICAID 10026072500
Nebraska MEDICAID 47070592302
Nebraska MEDICAID 0401410
Nebraska MEDICAID 200536770A
Nebraska MEDICAID 2401410
Nebraska MEDICAID 10026072400
Nebraska MEDICAID 47070592313
Nebraska MEDICAID 47070592306

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