Clan, Joseph Alvin

Clan, Joseph Alvin is an individual health care provider with primary practice located at 5211 Commerce Crossings Dr , Louisville KY 40229-2183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clan, Joseph Alvin can be contacted via phone (502) 966-3918.

Contact Information

Primary practice address
5211 Commerce Crossings Dr Louisville KY 40229-2183
Phone: (502) 966-3918
Fax: (502) 969-3665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22815 Kentucky

Profile Details

NPI number 1346248036
LBN Legal business name Clan, Joseph Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 5th, 2022 - 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 1346248036 NPPES
Kentucky Other 157104 SIHO-NCMA
Kentucky MEDICAID 64228158 SIHO-NCMA
Kentucky Other 000000845597 SIHO-NCMA
Kentucky Other 50061767 SIHO-NCMA

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