Poppel, Clinton S

Poppel, Clinton S is an individual health care provider with primary practice located at 12401 E Sinto Ave , Spokane Valley WA 99216-1081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Poppel, Clinton S can be contacted via phone (509) 922-2055.

Contact Information

Primary practice address
12401 E Sinto Ave Spokane Valley WA 99216-1081
Fax: (509) 922-2307
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00037066 Washington

Profile Details

NPI number 1770568875
LBN Legal business name Poppel, Clinton S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Jul 29th, 2010 - about 16 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 1770568875 NPPES
Washington MEDICAID 7104243
Washington MEDICAID 7099575

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