Godfrey, Clarke C

Godfrey, Clarke C is an individual health care provider with primary practice located at 1444 S Potomac St Suite 300, Aurora CO 80012-4508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Godfrey, Clarke C can be contacted via phone (303) 750-0822.

Contact Information

Primary practice address
1444 S Potomac St Suite 300 Aurora CO 80012-4508
Phone: (303) 750-0822
Fax: (303) 750-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16878 Colorado

Profile Details

NPI number 1750377628
LBN Legal business name Godfrey, Clarke C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 7th, 2013 - about 12 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 1750377628 NPPES
Nebraska MEDICAID 10026280800
Nebraska MEDICAID 1982948089
Nebraska MEDICAID 10026281200
Nebraska MEDICAID 01168780
Nebraska MEDICAID 1750377628
Nebraska MEDICAID 10026281000
Nebraska MEDICAID 100006100F
Nebraska MEDICAID 10026283100
Nebraska MEDICAID 10026280600
Nebraska MEDICAID 10026280700

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