Queen, Clifford E.

Queen, Clifford E. is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Queen, Clifford E. can be contacted via phone (740) 446-5238.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631-1560
Phone: (740) 446-5238
Fax: (740) 441-8058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 155948 Ohio

Profile Details

NPI number 1205852894
LBN Legal business name Queen, Clifford E.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Nov 23rd, 2020 - about 5 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 1205852894 NPPES
Other 000000006912 ANTHEM BCBS
MEDICAID 0065208000 ANTHEM BCBS
Other 430028924 ANTHEM BCBS
Other 001714073 ANTHEM BCBS
Other 0752118 ANTHEM BCBS

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