Clifton Waters
Individual provider Active NPI Driver · Salisbury, MD
NPI 1750844940 · NPPES record last updated Apr 13, 2019
Key facts
- NPI
- 1750844940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 20190936 (VA)
- Practice address
- 206 Davis St
Salisbury, MD 21804 - Phone
- (443) 614-9829
- NPI assigned
- Apr 13, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20190936 | VA | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 20190936 | VA | Yes |
Addresses
Primary practice location
206 Davis St
Salisbury, MD 21804
Mailing address
206 Davis St
Salisbury, MD 21804
Phone (443) 614-9829
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | MEDICAL TRANSPORTATION |
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.