Street, Chad Clifton
Street, Chad Clifton is an sole proprietor health care provider with primary practice located at 129 Loraine St , Pikeville KY 41501-3757. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Street, Chad Clifton can be contacted via phone (606) 432-9639.Contact Information
Primary practice address
129 Loraine St
Pikeville KY 41501-3757
Phone: (606) 432-9639
Fax: (606) 432-9689
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7103 | Kentucky |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 38532 | Kentucky |
Profile Details
| NPI number | 1992715288 |
|---|---|
| LBN Legal business name | Street, Chad Clifton |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jun 11th, 2014 - about 11 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 | 1992715288 | NPPES |
| Kentucky | MEDICAID | 64068414 | |
| Kentucky | MEDICAID | 60002300 | |
| Kentucky | Other | 1204662 |
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