Clisham, Madeline
Clisham, Madeline is an individual health care provider with primary practice located at 1787 Sentry Pkwy W Ste 405 , Blue Bell PA 19422-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clisham, Madeline can be contacted via phone (877) 868-4827.Contact Information
Primary practice address
1787 Sentry Pkwy W Ste 405
Blue Bell PA 19422-2239
Phone: (877) 868-4827
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SP017475 | Pennsylvania |
Profile Details
| NPI number | 1699292854 |
|---|---|
| LBN Legal business name | Clisham, Madeline |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2017 |
| Last updated | Dec 13th, 2022 - 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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