Clairmont, Albert Anthony

Clairmont, Albert Anthony is an sole proprietor health care provider with primary practice located at 2700 Westside Dr Nw Suite 308, Cleveland TN 37312-3699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Clairmont, Albert Anthony can be contacted via phone (423) 479-4132.

Contact Information

Primary practice address
2700 Westside Dr Nw Suite 308 Cleveland TN 37312-3699
Phone: (423) 479-4132
Fax: (423) 478-5347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D36996 Tennessee

Profile Details

NPI number 1336242569
LBN Legal business name Clairmont, Albert Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Mar 19th, 2014 - about 11 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 1336242569 NPPES
Tennessee Other 3882460 INDIVIDUAL MEDICARE PTAN
Tennessee Other 36996 INDIVIDUAL MEDICARE PTAN
Tennessee MEDICAID 3882469 INDIVIDUAL MEDICARE PTAN

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