Allen, Clint Tanner

Allen, Clint Tanner is an sole proprietor health care provider with primary practice located at 6420 Rockledge Dr Suite 4920, Bethesda MD 20817-7837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Allen, Clint Tanner can be contacted via phone (301) 896-3331.

Contact Information

Primary practice address
6420 Rockledge Dr Suite 4920 Bethesda MD 20817-7837
Phone: (301) 896-3331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD60276311 Washington
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101275391 Virginia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D76403 Maryland

Profile Details

NPI number 1861697021
LBN Legal business name Allen, Clint Tanner
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Nov 15th, 2022 - about 2 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 1861697021 NPPES
Washington MEDICAID 1861697021
Washington Other 0294408

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