Claussen, Eric Richard

Claussen, Eric Richard is an individual health care provider with primary practice located at 2624 Jenks Ave , Panama City FL 32405-4311. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Claussen, Eric Richard can be contacted via phone (850) 215-0798.

Contact Information

Primary practice address
2624 Jenks Ave Panama City FL 32405-4311
Phone: (850) 215-0798
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN17080 Florida
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN17080 Florida

Profile Details

NPI number 1194983965
LBN Legal business name Claussen, Eric Richard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Aug 5th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194983965 NPPES
Florida MEDICAID 003224200

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