Clegg, Colin James

Clegg, Colin James is an sole proprietor health care provider with primary practice located at 30800 Chagrin Blvd , Cleveland OH 44124-5925. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Clegg, Colin James can be contacted via phone (216) 591-1253.

Contact Information

Primary practice address
30800 Chagrin Blvd Cleveland OH 44124-5925
Phone: (216) 591-1253
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.171039 Ohio
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1588219190
LBN Legal business name Clegg, Colin James
Credentials CDCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2019
Last updated Jan 31st, 2020 - about 5 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 1588219190 NPPES
Ohio MEDICAID 2864093

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