Clarissa Marie Baraiac
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madison Heights, MI
NPI 1780225169 · NPPES record last updated Oct 7, 2019
Key facts
- NPI
- 1780225169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 26366 Wolverine St
Madison Heights, MI 48071-3714 - Phone
- (248) 434-7196
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1689148 | MI | MD | Basic Emergency Medical Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 1689148 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
26366 Wolverine St
Madison Heights, MI 48071-3714
Mailing address
26366 Wolverine St
Madison Heights, MI 48071-3714
Phone (248) 434-7196
Other names
- Clarissa Marie Baraiac
Other providers in Madison Heights, MI
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- Savitha Balaraman
- Michael Balas
- Ranjith Kumar Bandi
- Cole Barclay
- Tahir Bari
- Keia Monae Barlow
- Brian Thomas Barnett
- Christa D Bartley
All providers in Madison Heights, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.