Dille, Clinton L.

Dille, Clinton L. is an individual health care provider with primary practice located at 176 Falls Avenue , Twin Falls ID 83301. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dille, Clinton L. can be contacted via phone (208) 733-3181.

Contact Information

Primary practice address
176 Falls Avenue Twin Falls ID 83301
Phone: (208) 733-3181
Fax: (208) 733-3168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M7113 Idaho
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M7113 Idaho

Profile Details

NPI number 1306947569
LBN Legal business name Dille, Clinton L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 11th, 2017 - about 9 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 1306947569 NPPES
Idaho MEDICAID 804043400

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