Clark, Bruce M
Clark, Bruce M is an sole proprietor health care provider with primary practice located at 24395 Greenfield Rd , Southfield MI 48075-3118. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clark, Bruce M can be contacted via phone (248) 557-2323.Contact Information
Primary practice address
24395 Greenfield Rd
Southfield MI 48075-3118
Phone: (248) 557-2323
Fax: (248) 557-3639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 921 |
Profile Details
| NPI number | 1437252525 |
|---|---|
| LBN Legal business name | Clark, Bruce M |
| Credentials | C.P.O |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437252525 | NPPES |
| Michigan | MEDICAID | 05096363 |
Popular Providers
-
Diaz, Fernando
29275 Northwestern Hwy Ste 100, Southfield MI 48034-1044 -
Akingba, Danita H.
26400 W 12 Mile Rd Suite 140, Southfield MI 48034-1700 -
Timmis, Steven B.H.
16800 W 12 Mile Rd Suite 102, Southfield MI 48076-2108 -
Shah-Reddy, Ila
22301 Foster Winter Dr Second Floor, Southfield MI 48075-3707 -
Matthews, O L
29201 Telegraph Rd Ste 400 , Southfield MI 48034-7647 -
Yegul, Nakiye
24500 Northwestern Hwy , Southfield MI 48075-2414 -
Jayasundera, Victor
23100 Providence Dr Suite 135, Southfield MI 48075-3646 -
Al-Azzaz, Abdulkader
24500 Northwestern Hwy Suite 100, Southfield MI 48075-2414