Clavenna, Carl F

Clavenna, Carl F is an individual health care provider with primary practice located at 600 S Adams Rd Ste 200, Birmingham MI 48009-6863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clavenna, Carl F can be contacted via phone (248) 646-3733.

Contact Information

Primary practice address
600 S Adams Rd Ste 200 Birmingham MI 48009-6863
Phone: (248) 646-3733
Fax: (248) 642-2566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301054362 Michigan

Profile Details

NPI number 1003812561
LBN Legal business name Clavenna, Carl F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Nov 17th, 2021 - about 3 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 1003812561 NPPES
Michigan Other 180F321870 BLUE CROSS GROUP NUMBER
Michigan Other 101441 BLUE CROSS GROUP NUMBER
Michigan Other F48420 BLUE CROSS GROUP NUMBER
Michigan Other C4110 BLUE CROSS GROUP NUMBER
Michigan Other G5031F BLUE CROSS GROUP NUMBER
Michigan Other F48420 BLUE CROSS GROUP NUMBER

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