Cleary, Cleveland C

Cleary, Cleveland C is an individual health care provider with primary practice located at 600 East Blvd Emergency Department, Elkhart IN 46514-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cleary, Cleveland C can be contacted via phone (574) 523-3161.

Contact Information

Primary practice address
600 East Blvd Emergency Department Elkhart IN 46514-2483
Phone: (574) 523-3161
Fax: (574) 523-3221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01028349 Indiana

Profile Details

NPI number 1598757676
LBN Legal business name Cleary, Cleveland C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 20th, 2011 - about 14 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 1598757676 NPPES
Michigan MEDICAID 102669202
Michigan Other 000000082226
Michigan Other 010029951
Michigan MEDICAID 100152390

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