Kroese, Clarissa

Kroese, Clarissa is an individual health care provider with primary practice located at 1460 N Center Rd , Burton MI 48509-1429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kroese, Clarissa can be contacted via phone (810) 715-4300.

Contact Information

Primary practice address
1460 N Center Rd Burton MI 48509-1429
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5315021617 Michigan

Profile Details

NPI number 1033238258
LBN Legal business name Kroese, Clarissa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 2007 - about 19 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 1033238258 NPPES
Michigan MEDICAID 4768086

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