Istre, Clifton O

Istre, Clifton O is an sole proprietor health care provider with primary practice located at 350 Lakeview Ct Suite A, Covington LA 70433-7514. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Istre, Clifton O can be contacted via phone (985) 845-3509.

Contact Information

Primary practice address
350 Lakeview Ct Suite A Covington LA 70433-7514
Phone: (985) 845-3509
Fax: (985) 867-5498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 156 Louisiana

Profile Details

NPI number 1639272172
LBN Legal business name Istre, Clifton O
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Apr 8th, 2013 - about 11 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 1639272172 NPPES
Louisiana MEDICAID 1680176

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