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Contact Information

DAVID D CLUTTS, MD
2601 W MAIN ST
CARBONDALE, IL62901-1031
 Phone: 618-549-5361
 Fax: 618-549-5128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID D CLUTTS · (Male)

NPI Number 1407822406
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 07/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36-078587
  • IL Medicaid 036078587
  • IL Other 7210895 AETNA
  • IL Other 3932056 BCBS OF IL
  • IL Other 324130 GHP
  • IL Other 42496 GHP
  • IL Other 027516 HEALTH ALLIANCE
  • IL Other 142410 HEALTHLINK INSURANCE
  • IL Other 20016640 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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