Clancy, Nora

Clancy, Nora is an sole proprietor health care provider with primary practice located at 7117 Dixie Hwy , Clarkston MI 48346-2077. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Clancy, Nora can be contacted via phone (248) 620-1100.

Contact Information

Primary practice address
7117 Dixie Hwy Clarkston MI 48346-2077
Fax: (248) 620-1196
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003305 Michigan

Profile Details

NPI number 1477780658
LBN Legal business name Clancy, Nora
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2009
Last updated Aug 28th, 2012 - about 12 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 1477780658 NPPES
Michigan Other 900F36787 BLUE CROSS AND BLUE SHIELD
Michigan Other M41550002 BLUE CROSS AND BLUE SHIELD

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