Clifton, Marvin Dementreous
Clifton, Marvin Dementreous is an individual health care provider with primary practice located at 4884 Constitution Ave Ste 1E, Baton Rouge LA 70808-3324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Clifton, Marvin Dementreous can be contacted via phone (225) 923-1621.Contact Information
Primary practice address
4884 Constitution Ave Ste 1E
Baton Rouge LA 70808-3324
Phone: (225) 923-1621
Fax: (225) 923-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 05469R | Louisiana |
Profile Details
| NPI number | 1255423992 |
|---|---|
| LBN Legal business name | Clifton, Marvin Dementreous |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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