Clague, Gregory Q.
Clague, Gregory Q. is an individual health care provider with primary practice located at 10300 W 9 Mile Rd , Oak Park MI 48237-2993. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Clague, Gregory Q. can be contacted via phone (248) 544-8326.Contact Information
Primary practice address
10300 W 9 Mile Rd
Oak Park MI 48237-2993
Phone: (248) 544-8326
Fax: (248) 544-2028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101006602 | Michigan |
Profile Details
| NPI number | 1184608457 |
|---|---|
| LBN Legal business name | Clague, Gregory Q. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Feb 16th, 2011 - about 15 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 | 1184608457 | NPPES |
| Michigan | MEDICAID | 1184608457 | |
| Michigan | Other | 700H217350 |
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