Clifton, Emmette Ross

Clifton, Emmette Ross is an individual health care provider with primary practice located at 345 Healthwest Dr , Dothan AL 36303-2053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clifton, Emmette Ross can be contacted via phone (334) 793-2663.

Contact Information

Primary practice address
345 Healthwest Dr Dothan AL 36303-2053
Phone: (334) 793-2663
Fax: (334) 836-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO 319 Alabama

Profile Details

NPI number 1306891593
LBN Legal business name Clifton, Emmette Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 4th, 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 1306891593 NPPES
Georgia MEDICAID 000532364D
Georgia MEDICAID 159704
Georgia Other 1306891593
Georgia MEDICAID 000532364E
Georgia MEDICAID 164246
Georgia Other 511-47107
Georgia Other 511-52694
Georgia MEDICAID 159086
Georgia Other 511-47106

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