Carmody, Clayton Alan

Carmody, Clayton Alan is an individual health care provider with primary practice located at 7640 Sylvania Ave Ste B , Sylvania OH 43560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Carmody, Clayton Alan can be contacted via phone (419) 517-8178.

Contact Information

Primary practice address
7640 Sylvania Ave Ste B Sylvania OH 43560
Phone: (419) 517-8178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35134940 Ohio
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD60763576 Washington

Profile Details

NPI number 1548528573
LBN Legal business name Carmody, Clayton Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Nov 6th, 2019 - about 6 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 1548528573 NPPES
Ohio Other H648601 MEDICARE
Ohio Other H648600 MEDICARE
Ohio MEDICAID 0313996 MEDICARE

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