Clifford, David

Clifford, David is an individual health care provider with primary practice located at 28000 Woodward Ave , Royal Oak MI 48067-0960. He recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as his primary health care specialty. Clifford, David can be contacted via phone (248) 440-1513.

Contact Information

Primary practice address
28000 Woodward Ave Royal Oak MI 48067-0960
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1073107785
LBN Legal business name Clifford, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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 1073107785 NPPES
Michigan MEDICAID 1497760086

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