Dudley, Clarissa M
Dudley, Clarissa M is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dudley, Clarissa M can be contacted via phone (202) 476-5500.Contact Information
Primary practice address
111 Michigan Ave Nw
Washington DC 20010-2916
Phone: (202) 476-5500
Fax: (202) 476-5877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101840524 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD037670 | District of Columbia |
Profile Details
| NPI number | 1225204464 |
|---|---|
| LBN Legal business name | Dudley, Clarissa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2008 |
| Last updated | Oct 23rd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225204464 | NPPES |
| Virginia | MEDICAID | 010051487 |
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