Clement, Miche
Clement, Miche is an individual health care provider with primary practice located at 209 S Halifax Ave , Daytona Beach FL 32118-6814. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clement, Miche can be contacted via phone (954) 471-1771.Contact Information
Primary practice address
209 S Halifax Ave
Daytona Beach FL 32118-6814
Phone: (954) 471-1771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1588156988 |
|---|---|
| LBN Legal business name | Clement, Miche |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | May 31st, 2018 - about 7 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 | 1588156988 | NPPES |
| Florida | MEDICAID | 81-1179377 |
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