Clutts, David D

Clutts, David D is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clutts, David D can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 549-5128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36-078587 Illinois

Profile Details

NPI number 1407822406
LBN Legal business name Clutts, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 7th, 2011 - about 15 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 1407822406 NPPES
Illinois Other 027516 HEALTH ALLIANCE
Illinois MEDICAID 036078587 HEALTH ALLIANCE
Illinois Other 3932056 HEALTH ALLIANCE
Illinois Other 7210895 HEALTH ALLIANCE
Illinois Other 20016640 HEALTH ALLIANCE
Illinois Other 142410 HEALTH ALLIANCE
Illinois Other 324130 HEALTH ALLIANCE
Illinois Other 42496 HEALTH ALLIANCE

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