Leclaire, Denise R
Leclaire, Denise R is an sole proprietor health care provider with primary practice located at 234 1/2 Washington Ave , Grand Haven MI 49417-1375. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Leclaire, Denise R can be contacted via phone (616) 607-4476.Contact Information
Primary practice address
234 1/2 Washington Ave
Grand Haven MI 49417-1375
Phone: (616) 607-4476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008788 | Michigan |
Profile Details
| NPI number | 1528528478 |
|---|---|
| LBN Legal business name | Leclaire, Denise R |
| Credentials | M.A., L.L.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Mar 25th, 2019 - about 5 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 | 1528528478 | NPPES |
| Michigan | MEDICAID | CV0012326 |
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