Souder, Clifford C

Souder, Clifford C is an sole proprietor health care provider with primary practice located at 238 Brookley Ave Sw , Bolling Afb DC 20032-7704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Souder, Clifford C can be contacted via phone (202) 404-6491.

Contact Information

Primary practice address
238 Brookley Ave Sw Bolling Afb DC 20032-7704
Phone: (202) 404-6491
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003746 Virginia

Profile Details

NPI number 1679751200
LBN Legal business name Souder, Clifford C
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2008
Last updated Oct 20th, 2023 - about 2 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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