Moudy, Clifford Loren

Moudy, Clifford Loren is an individual health care provider with primary practice located at 3001A Sixth St Naval Hospital Great Lakes, Great Lakes IL 60088-5230. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moudy, Clifford Loren can be contacted via phone (847) 688-2616.

Contact Information

Primary practice address
3001A Sixth St Naval Hospital Great Lakes Great Lakes IL 60088-5230
Phone: (847) 688-2616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1679541676
LBN Legal business name Moudy, Clifford Loren
Credentials I.D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
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.

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