Clay, Angela Marie
Clay, Angela Marie is an sole proprietor health care provider with primary practice located at 26036 Pontiac Trl , South Lyon MI 48178-8050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Clay, Angela Marie can be contacted via phone (248) 479-2200.Contact Information
Primary practice address
26036 Pontiac Trl
South Lyon MI 48178-8050
Phone: (248) 479-2200
Fax: (248) 479-2682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 5101018277 | Michigan |
Profile Details
| NPI number | 1669609871 |
|---|---|
| LBN Legal business name | Clay, Angela Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Nov 5th, 2015 - about 9 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 | 1669609871 | NPPES |
| Michigan | MEDICAID | 1669609871 |
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