Clampett, Patricia Rose

Clampett, Patricia Rose is an sole proprietor health care provider with primary practice located at 120 S Main St , Thomaston CT 06787-1746. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Contractor, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is her primary health care specialty. Clampett, Patricia Rose can be contacted via phone (860) 283-6248.

Contact Information

Primary practice address
120 S Main St Thomaston CT 06787-1746
Phone: (860) 283-6248
Fax: (860) 283-6247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1386790426
LBN Legal business name Clampett, Patricia Rose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Feb 12th, 2010 - about 14 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 1386790426 NPPES
Connecticut MEDICAID 004266658

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