Clavo, Donna
Clavo, Donna is an individual health care provider with primary practice located at 3269 N Stockton Hill Rd , Kingman AZ 86409-3619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Clavo, Donna can be contacted via phone (928) 757-2101.Contact Information
Primary practice address
3269 N Stockton Hill Rd
Kingman AZ 86409-3619
Phone: (928) 757-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 008128 | Arizona |
Profile Details
| NPI number | 1114307345 |
|---|---|
| LBN Legal business name | Clavo, Donna |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2015 |
| Last updated | Mar 26th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114307345 | NPPES |
| Arizona | MEDICAID | 568064 |
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