Red, Clarence James
Red, Clarence James is an sole proprietor health care provider with primary practice located at 227 N Hammes Ave , Joliet IL 60435-8115. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Red, Clarence James can be contacted via phone (815) 744-2990.Contact Information
Primary practice address
227 N Hammes Ave
Joliet IL 60435-8115
Phone: (815) 744-2990
Fax: (815) 744-8105
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | Illinois | |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
NPI number | 1740409663 |
---|---|
LBN Legal business name | Red, Clarence James |
Credentials | D.D.S., M.S.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 25th, 2007 |
Last updated | Jul 8th, 2007 - 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.
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