Clisham, Michael
Clisham, Michael is an sole proprietor health care provider with primary practice located at 6304 Kenwood Ave 3, Baltimore MD 21237-2002. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Clisham, Michael can be contacted via phone (443) 460-0127.Contact Information
Primary practice address
6304 Kenwood Ave 3
Baltimore MD 21237-2002
Phone: (443) 460-0127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 00506 | Maryland |
Profile Details
| NPI number | 1366546749 |
|---|---|
| LBN Legal business name | Clisham, Michael |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jun 4th, 2008 - about 16 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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