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Clayton Reed Hermann, BA

Technician, Attendant Care Provider in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1376073379
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1376073379
Entity type
Individual (NPI-1)
Name
Clayton Reed Hermann
Credential
BA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2017
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider–MIYes

Practice location

3492 Lake Dr Se
Grand Rapids, MI 49546-4338

Phone 616-940-0040

Mailing address

3492 Lake Dr Se
Grand Rapids, MI 49546-4338

Phone 616-940-0040

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Attendant Care Provider providers in Grand Rapids, MI

All 13 Attendant Care Provider providers in Grand Rapids · All 20,987 providers in Grand Rapids

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