Carlisle, Michael Clifford

Carlisle, Michael Clifford is an individual health care provider with primary practice located at 13207 Ravenna Rd Senior Assessment Program, Chardon OH 44024-7032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carlisle, Michael Clifford can be contacted via phone (216) 844-2400.

Contact Information

Primary practice address
13207 Ravenna Rd Senior Assessment Program Chardon OH 44024-7032
Fax: (440) 285-6247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 34008772 Ohio

Profile Details

NPI number 1063581395
LBN Legal business name Carlisle, Michael Clifford
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 20th, 2014 - about 10 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 1063581395 NPPES
Ohio MEDICAID 2854817

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