Pardales, Clemon

Pardales, Clemon is an individual health care provider with primary practice located at 2775 Blake Rd , Jackson MI 49201-8838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pardales, Clemon can be contacted via phone (517) 787-2906.

Contact Information

Primary practice address
2775 Blake Rd Jackson MI 49201-8838
Phone: (517) 787-2906
Fax: (517) 787-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 5101005389 Michigan

Profile Details

NPI number 1134250921
LBN Legal business name Pardales, Clemon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 19 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 1134250921 NPPES
Michigan Other 7891257 AETNA

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