Swingle, Clinton Jay
Swingle, Clinton Jay is an individual health care provider with primary practice located at 221 W Colorado Blvd Ste 640 , Dallas TX 75208-2345. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Swingle, Clinton Jay can be contacted via phone (214) 946-4535.Contact Information
Primary practice address
221 W Colorado Blvd Ste 640
Dallas TX 75208-2345
Phone: (214) 946-4535
Fax: (214) 943-8213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 308506 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 607104 | Texas |
Profile Details
| NPI number | 1760510903 |
|---|---|
| LBN Legal business name | Swingle, Clinton Jay |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jun 30th, 2023 - about 3 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 | 1760510903 | NPPES |
| Texas | MEDICAID | 168792301 | |
| Texas | Other | 8N7698 |
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