Clem, Scott

Clem, Scott is an sole proprietor health care provider with primary practice located at 905 N Gurley Ave , Gillette WY 82716-2109. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is his primary health care specialty. Clem, Scott can be contacted via phone (307) 686-0669.

Contact Information

Primary practice address
905 N Gurley Ave Gillette WY 82716-2109
Phone: (307) 686-0669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 020407A2 Wyoming

Profile Details

NPI number 1063890341
LBN Legal business name Clem, Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2015
Last updated May 7th, 2015 - about 10 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 1063890341 NPPES
Wyoming MEDICAID 3076860669

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