Weldon, Clifford
Weldon, Clifford is an individual health care provider with primary practice located at 15945 19 Mile Rd Ste 202 , Clinton Township MI 48038-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weldon, Clifford can be contacted via phone (586) 285-9270.Contact Information
Primary practice address
15945 19 Mile Rd Ste 202
Clinton Township MI 48038-1147
Phone: (586) 285-9270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301054557 | Michigan |
Profile Details
| NPI number | 1528194545 |
|---|---|
| LBN Legal business name | Weldon, Clifford |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 28th, 2021 - about 3 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 | 1528194545 | NPPES |
| Michigan | Other | M-006492 | TRICARE |
| Michigan | Other | QMXPR0020661 | TRICARE |
| Michigan | Other | 0500966 | TRICARE |
| Michigan | Other | 7001298 | TRICARE |
| Michigan | Other | 0166726 | TRICARE |
| Michigan | Other | CW054557 | TRICARE |
| Michigan | Other | P87524 | TRICARE |
| Michigan | MEDICAID | 1528194545 | TRICARE |
| Michigan | Other | 21606 | TRICARE |
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