Shaker, Clayton

Shaker, Clayton is an individual health care provider with primary practice located at 1711 S Stephenson Ave Ste 115 , Iron Mountain MI 49801-3648. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shaker, Clayton can be contacted via phone (906) 776-5955.

Contact Information

Primary practice address
1711 S Stephenson Ave Ste 115 Iron Mountain MI 49801-3648
Phone: (906) 776-5955
Fax: (906) 228-0202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301100058 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125051889 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301100058 Michigan

Profile Details

NPI number 1598913279
LBN Legal business name Shaker, Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Nov 17th, 2020 - about 6 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 1598913279 NPPES
Michigan Other 0220132 BCBS PIN

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