Clerc, Daniel T

Clerc, Daniel T is an individual health care provider with primary practice located at 3021 Griffin Ave , Enumclaw WA 98022-2369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Clerc, Daniel T can be contacted via phone (360) 825-6511.

Contact Information

Primary practice address
3021 Griffin Ave Enumclaw WA 98022-2369
Phone: (360) 825-6511
Fax: (360) 825-6536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00043068 Washington
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X MD00043068 Washington

Profile Details

NPI number 1508871153
LBN Legal business name Clerc, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 3rd, 2012 - about 13 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 1508871153 NPPES
Washington Other 0180969 STATE L&I
Washington Other 0290515 STATE L&I
Washington MEDICAID 8381014 STATE L&I

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