Myers, Clifford Earl
Myers, Clifford Earl is an sole proprietor health care provider with primary practice located at 5401 N Knoxville Ave Suite 106, Peoria IL 61614-5098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Myers, Clifford Earl can be contacted via phone (309) 693-2710.Contact Information
Primary practice address
5401 N Knoxville Ave Suite 106
Peoria IL 61614-5098
Phone: (309) 693-2710
Fax: (309) 693-9460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-060306 | Illinois |
Profile Details
| NPI number | 1356320253 |
|---|---|
| LBN Legal business name | Myers, Clifford Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Oct 19th, 2021 - about 3 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 | 1356320253 | NPPES |
| Illinois | MEDICAID | 1356320253 |
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