Cleary, Michael J

Cleary, Michael J is an individual health care provider with primary practice located at 226 S Woods Mill Rd Suite 52 West, Chesterfield MO 63017-3662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cleary, Michael J can be contacted via phone (314) 434-2399.

Contact Information

Primary practice address
226 S Woods Mill Rd Suite 52 West Chesterfield MO 63017-3662
Fax: (314) 434-5653
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2004023908 Missouri

Profile Details

NPI number 1124098546
LBN Legal business name Cleary, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Aug 25th, 2014 - about 10 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 1124098546 NPPES
Missouri Other 196234 BC/BS MISSOURI
Missouri MEDICAID 1124098546 BC/BS MISSOURI
Missouri Other P01032450 BC/BS MISSOURI
Missouri MEDICAID 207190802 BC/BS MISSOURI

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