Provider Demographics
NPI:1275179848
Name:ENGLISH, CLIFTON JR
Entity Type:Individual
Prefix:
First Name:CLIFTON
Middle Name:
Last Name:ENGLISH
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21231 N EVERS PL
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2104
Mailing Address - Country:US
Mailing Address - Phone:313-983-9464
Mailing Address - Fax:
Practice Address - Street 1:21231 N EVERS PL
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-2104
Practice Address - Country:US
Practice Address - Phone:313-984-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist