Provider Demographics
NPI:1942793567
Name:DOWDELL, CLAYTON MICHAEL II
Entity Type:Individual
Prefix:MR
First Name:CLAYTON
Middle Name:MICHAEL
Last Name:DOWDELL
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:CLAYTON MICHAEL DOWD
Other - Middle Name:
Other - Last Name:CHIIMEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 BROADMEADOWS BLVD APT D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:895 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206
Practice Address - Country:US
Practice Address - Phone:614-895-0320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator