Howard, Clinton Wilbur
Howard, Clinton Wilbur is an individual health care provider with primary practice located at 100 Professional Park Dr Se Suite 1, Blacksburg VA 24060-6665. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Howard, Clinton Wilbur can be contacted via phone (540) 951-8777.Contact Information
Primary practice address
100 Professional Park Dr Se Suite 1
Blacksburg VA 24060-6665
Phone: (540) 951-8777
Fax: (540) 951-9642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0401006450 | Virginia |
Profile Details
| NPI number | 1073504882 |
|---|---|
| LBN Legal business name | Howard, Clinton Wilbur |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073504882 | NPPES |
| Virginia | MEDICAID | 8010285 |
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