Ketchel, Clint
Ketchel, Clint is an individual health care provider with primary practice located at 30195 Fraser Dr , Lake Elsinore CA 92530-7006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ketchel, Clint can be contacted via phone (951) 252-2720.Contact Information
Primary practice address
30195 Fraser Dr
Lake Elsinore CA 92530-7006
Phone: (951) 252-2720
Fax: (760) 414-3892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301100963 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A135564 | California |
Profile Details
| NPI number | 1699038125 |
|---|---|
| LBN Legal business name | Ketchel, Clint |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | Feb 1st, 2019 - about 7 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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