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Contact Information

CHARLES CLAGG, LMT
19159 MERRIMAN RD
LIVONIA, MI48152
 Phone: 248-477-4408
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for CHARLES CLAGG · (Male)

NPI Number 1831627876
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 06/02/2017
Last updated 03/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 7501010100
  • MI Other 7501010100 MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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