Barnett, Clarence Richard

Barnett, Clarence Richard is an individual health care provider with primary practice located at 1020 4Th Ave , Lake Odessa MI 48849-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barnett, Clarence Richard can be contacted via phone (616) 374-8881.

Contact Information

Primary practice address
1020 4Th Ave Lake Odessa MI 48849-1004
Phone: (616) 374-8881
Fax: (616) 374-4220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047150 Michigan

Profile Details

NPI number 1558320846
LBN Legal business name Barnett, Clarence Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558320846 NPPES
Michigan Other 0130191 PHP KALAMAZOO PLAN
Michigan MEDICAID 1560127 PHP KALAMAZOO PLAN
Michigan Other 0170558 PHP KALAMAZOO PLAN
Michigan Other 0340028 PHP KALAMAZOO PLAN
Michigan Other 0100558 PHP KALAMAZOO PLAN

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