Lord, Clifton Frederick
Lord, Clifton Frederick is an sole proprietor health care provider with primary practice located at 15 State St , Windsor VT 05089-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Lord, Clifton Frederick can be contacted via phone (802) 674-9400.Contact Information
Primary practice address
15 State St
Windsor VT 05089-1201
Phone: (802) 674-9400
Fax: (802) 674-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 0420007259 | Vermont |
Profile Details
| NPI number | 1497828859 |
|---|---|
| LBN Legal business name | Lord, Clifton Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497828859 | NPPES |
| Vermont | MEDICAID | 0006638 |
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