Moudy, Clifford Loren
Moudy, Clifford Loren is an individual health care provider with primary practice located at 3001A Sixth St Naval Hospital Great Lakes, Great Lakes IL 60088-5230. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Moudy, Clifford Loren can be contacted via phone (847) 688-2616.Contact Information
Primary practice address
3001A Sixth St Naval Hospital Great Lakes
Great Lakes IL 60088-5230
Phone: (847) 688-2616
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1679541676 |
|---|---|
| LBN Legal business name | Moudy, Clifford Loren |
| Credentials | I.D.C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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