Michael Shannon Clifton, IDC
Individual provider Active NPI Independent Duty Corpsman · Fpo Ap, CA
NPI 1891970026 · NPPES record last updated Jan 7, 2008
Key facts
- NPI
- 1891970026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- NMCB 5
Unit 25294
Fpo Ap, CA 96601-4961 - Phone
- (757) 630-7930
- NPI assigned
- Jan 7, 2008
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
NMCB 5
Unit 25294
Fpo Ap, CA 96601-4961
Mailing address
NMCB 5
Unit 25294
Fpo Ap, CA 96601-4961
Other providers in Fpo Ap, CA
All providers in Fpo Ap, CA · Independent Duty Corpsman in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2008. 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.