Clay, Darrrius
Clay, Darrrius is an sole proprietor health care provider with primary practice located at 6808 University Ave Ste 108 , Middleton WI 53562-2779. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clay, Darrrius can be contacted via phone (608) 225-4037.Contact Information
Primary practice address
6808 University Ave Ste 108
Middleton WI 53562-2779
Phone: (608) 225-4037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | C4001619522202 | Wisconsin |
Profile Details
| NPI number | 1104539154 |
|---|---|
| LBN Legal business name | Clay, Darrrius |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2023 |
| Last updated | Jan 4th, 2023 - about 2 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 | 1104539154 | NPPES |
| Wisconsin | MEDICAID | 92-1469139 |
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