Clayton, Michelle

Clayton, Michelle is an individual health care provider with primary practice located at 935 Redgate Ave , Norfolk VA 23507-1517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clayton, Michelle can be contacted via phone (757) 668-6100.

Contact Information

Primary practice address
935 Redgate Ave Norfolk VA 23507-1517
Phone: (757) 668-6100
Fax: (757) 668-6109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101234932 Virginia

Profile Details

NPI number 1407864747
LBN Legal business name Clayton, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 29th, 2022 - about 4 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 1407864747 NPPES
Virginia MEDICAID 010098505

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