Mcentyre, Clinton Erle

Mcentyre, Clinton Erle is an individual health care provider with primary practice located at 4310 Watermelon Rd , Northport AL 35473-5166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcentyre, Clinton Erle can be contacted via phone (205) 330-5266.

Contact Information

Primary practice address
4310 Watermelon Rd Northport AL 35473-5166
Phone: (205) 330-5266
Fax: (205) 330-9915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20976 Alabama

Profile Details

NPI number 1518040005
LBN Legal business name Mcentyre, Clinton Erle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jan 25th, 2024 - about last year

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 1518040005 NPPES
Alabama Other 511-00517 BCBS OF AL.
Alabama MEDICAID 1336474964/115060 BCBS OF AL.
Alabama Other P00802676 BCBS OF AL.

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