Clancy, Martin

Clancy, Martin is an individual health care provider with primary practice located at 460 Carriage Way , Deerfield IL 60015-4533. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clancy, Martin can be contacted via phone (847) 971-0928.

Contact Information

Primary practice address
460 Carriage Way Deerfield IL 60015-4533
Phone: (847) 971-0928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1811388077
LBN Legal business name Clancy, Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Feb 10th, 2015 - about 10 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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