Clinton, Denise J

Clinton, Denise J is an individual health care provider with primary practice located at 35429 Schoenherr Rd , Sterling Heights MI 48312-4258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clinton, Denise J can be contacted via phone (586) 264-4261.

Contact Information

Primary practice address
35429 Schoenherr Rd Sterling Heights MI 48312-4258
Phone: (586) 264-4261
Fax: (586) 264-4707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704126774 Michigan

Profile Details

NPI number 1932147485
LBN Legal business name Clinton, Denise J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Jan 15th, 2015 - about 9 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 1932147485 NPPES
Michigan Other 5008603900 BCBSM PROVIDER PIN
Michigan MEDICAID 4643662 BCBSM PROVIDER PIN

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