Clayton, Daniel

Clayton, Daniel is an sole proprietor health care provider with primary practice located at 4500 W Midway Rd , Fort Pierce FL 34981-4823. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Clayton, Daniel can be contacted via phone (772) 468-5600.

Contact Information

Primary practice address
4500 W Midway Rd Fort Pierce FL 34981-4823
Fax: (772) 468-5606
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578812053
LBN Legal business name Clayton, Daniel
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2012
Last updated Aug 30th, 2012 - about 14 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 1578812053 NPPES
Florida MEDICAID 596153749

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