Clague, Gregory Q.

Clague, Gregory Q. is an individual health care provider with primary practice located at 10300 W 9 Mile Rd , Oak Park MI 48237-2993. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Clague, Gregory Q. can be contacted via phone (248) 544-8326.

Contact Information

Primary practice address
10300 W 9 Mile Rd Oak Park MI 48237-2993
Fax: (248) 544-2028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101006602 Michigan

Profile Details

NPI number 1184608457
LBN Legal business name Clague, Gregory Q.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 16th, 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 1184608457 NPPES
Michigan MEDICAID 1184608457
Michigan Other 700H217350

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