Enos, Clinton

Enos, Clinton is an individual health care provider with primary practice located at 721 Fairfax Ave Ste 200 , Norfolk VA 23507-2007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Enos, Clinton can be contacted via phone (757) 446-5629.

Contact Information

Primary practice address
721 Fairfax Ave Ste 200 Norfolk VA 23507-2007
Phone: (757) 446-5629
Fax: (757) 446-6000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME151678 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101275278 Virginia

Profile Details

NPI number 1366896458
LBN Legal business name Enos, Clinton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2016
Last updated Jul 23rd, 2022 - about 4 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 1366896458 NPPES
Florida MEDICAID 110954500

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