Wanebo, Clifford Kevin
Wanebo, Clifford Kevin is an sole proprietor health care provider with primary practice located at 810 Mazatlan Dr , Grand Junction CO 81506-1773. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wanebo, Clifford Kevin can be contacted via phone (970) 243-8946.Contact Information
Primary practice address
810 Mazatlan Dr
Grand Junction CO 81506-1773
Phone: (970) 243-8946
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 14570 | Colorado |
Profile Details
| NPI number | 1225144173 |
|---|---|
| LBN Legal business name | Wanebo, Clifford Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 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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