Mault, Clifford H
Mault, Clifford H is an sole proprietor health care provider with primary practice located at 12 Grindstaff Cove Rd , Sylva NC 28779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mault, Clifford H can be contacted via phone (828) 586-0807.Contact Information
Primary practice address
12 Grindstaff Cove Rd
Sylva NC 28779
Phone: (828) 586-0807
Fax: (828) 586-8490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200300173 | North Carolina |
Profile Details
| NPI number | 1902870736 |
|---|---|
| LBN Legal business name | Mault, Clifford H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Dec 19th, 2019 - about 6 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 | 1902870736 | NPPES |
| North Carolina | Other | 138XC | BCBS |
| North Carolina | MEDICAID | 5900095 | BCBS |
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