Clarke, Michelle

Clarke, Michelle is an sole proprietor health care provider with primary practice located at 4532 Browns Mill Ferry Rd , Lithonia GA 30038-4528. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Technologists, Technicians & Other Technical Service Providers / EEG. Technologists, Technicians & Other Technical Service Providers / EEG is her primary health care specialty. Clarke, Michelle can be contacted via phone (404) 437-3540.

Contact Information

Primary practice address
4532 Browns Mill Ferry Rd Lithonia GA 30038-4528
Phone: (404) 437-3540
Fax: (404) 437-3540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CN0000001529 Georgia
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X C9P4H9A3 Georgia

Profile Details

NPI number 1184132177
LBN Legal business name Clarke, Michelle
Credentials CPT , CNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2018
Last updated Jan 22nd, 2019 - about 6 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 1184132177 NPPES
Georgia MEDICAID 000

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