Clancy, James Patrick

Clancy, James Patrick is an individual health care provider with primary practice located at 2990 Niles Rd , Saint Joseph MI 49085-8607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clancy, James Patrick can be contacted via phone (269) 983-3368.

Contact Information

Primary practice address
2990 Niles Rd Saint Joseph MI 49085-8607
Phone: (269) 983-3368
Fax: (269) 983-2758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301 060275 Michigan

Profile Details

NPI number 1679539811
LBN Legal business name Clancy, James Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 4th, 2024 - about 2 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 1679539811 NPPES
Michigan MEDICAID 4170377 10
Michigan MEDICAID 100257957

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