Clayton, Bevin
Clayton, Bevin is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clayton, Bevin can be contacted via phone (231) 947-0673.Contact Information
Primary practice address
1105 6Th St
Traverse City MI 49684-2349
Phone: (231) 947-0673
Fax: (801) 740-2847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5101009914 | Michigan |
Profile Details
| NPI number | 1013916071 |
|---|---|
| LBN Legal business name | Clayton, Bevin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Mar 8th, 2016 - about 8 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 | 1013916071 | NPPES |
| Michigan | MEDICAID | 3446560 | |
| Michigan | Other | 010061693 | |
| Michigan | Other | BC009914 |
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