Clarke, Amy E

Clarke, Amy E is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Clarke, Amy E can be contacted via phone (313) 593-7820.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Phone: (313) 593-7820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704207060 Michigan

Profile Details

NPI number 1336274224
LBN Legal business name Clarke, Amy E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated May 17th, 2010 - about 14 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 1336274224 NPPES
Michigan MEDICAID 4852386

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