Carr, Clifford William

Carr, Clifford William is an sole proprietor health care provider with primary practice located at 926 Washington Ave Building D, Suite 230, Holland MI 49423-7725. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Carr, Clifford William can be contacted via phone (616) 594-2006.

Contact Information

Primary practice address
926 Washington Ave Building D, Suite 230 Holland MI 49423-7725
Phone: (616) 594-2006
Fax: (616) 594-2015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000228 Michigan

Profile Details

NPI number 1134315047
LBN Legal business name Carr, Clifford William
Credentials CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2007
Last updated Jul 5th, 2011 - about 13 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 1134315047 NPPES
Michigan MEDICAID 2822889

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