Clady, Aimee

Clady, Aimee is an individual health care provider with primary practice located at 1915 Lake Ave , Plymouth IN 46563-9366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clady, Aimee can be contacted via phone (574) 948-4000.

Contact Information

Primary practice address
1915 Lake Ave Plymouth IN 46563-9366
Fax:
Website:

Health care specialties

Profile Details

NPI number 1902345879
LBN Legal business name Clady, Aimee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Feb 28th, 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 1902345879 NPPES
Indiana MEDICAID 300002047
Indiana Other 000001075406
Indiana Other 187720013

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