Schostal, Clifford J

Schostal, Clifford J is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Schostal, Clifford J can be contacted via phone (360) 636-4814.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 636-4814
Fax: (360) 414-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00018165 Washington

Profile Details

NPI number 1215939905
LBN Legal business name Schostal, Clifford J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215939905 NPPES
Washington Other 146052 LABOR & IND.
Washington Other 8929331 LABOR & IND.
Washington MEDICAID 1099845 LABOR & IND.
Washington MEDICAID 222844 LABOR & IND.

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