Vanbalen, Clayton Gerald

Vanbalen, Clayton Gerald is an individual health care provider with primary practice located at 900 E 54Th St N , Sioux Falls SD 57104. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Vanbalen, Clayton Gerald can be contacted via phone (605) 338-9300.

Contact Information

Primary practice address
900 E 54Th St N Sioux Falls SD 57104
Phone: (605) 338-9300
Fax: (605) 338-9301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 2540 South Dakota
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 2540 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2540 South Dakota

Profile Details

NPI number 1316943251
LBN Legal business name Vanbalen, Clayton Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 2nd, 2021 - about 4 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 1316943251 NPPES
South Dakota MEDICAID 5602923

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