Wampler, Clinton Douglas

Wampler, Clinton Douglas is an individual health care provider with primary practice located at 15116 N Cotton Ln , Surprise AZ 85388-9618. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Wampler, Clinton Douglas can be contacted via phone (800) 376-3440.

Contact Information

Primary practice address
15116 N Cotton Ln Surprise AZ 85388-9618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arizona

Profile Details

NPI number 1871129833
LBN Legal business name Wampler, Clinton Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2020
Last updated Jun 25th, 2024 - about 6 months 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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