Clifford, Gregg R

Clifford, Gregg R is an individual health care provider with primary practice located at 301 Riverview Ave Ste 900, Norfolk VA 23510-1065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clifford, Gregg R can be contacted via phone (757) 252-9300.

Contact Information

Primary practice address
301 Riverview Ave Ste 900 Norfolk VA 23510-1065
Fax: (757) 252-9301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101037676 Virginia

Profile Details

NPI number 1588639975
LBN Legal business name Clifford, Gregg R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 9th, 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 1588639975 NPPES
Virginia MEDICAID 006026982

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