Clemens, Conrad J
Clemens, Conrad J is an individual health care provider with primary practice located at 2800 E Ajo Way , Tucson AZ 85713-6204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clemens, Conrad J can be contacted via phone (520) 874-4750.Contact Information
Primary practice address
2800 E Ajo Way
Tucson AZ 85713-6204
Phone: (520) 874-4750
Fax: (520) 874-4751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29838 | Arizona |
Profile Details
| NPI number | 1104899566 |
|---|---|
| LBN Legal business name | Clemens, Conrad J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Dec 4th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104899566 | NPPES |
| Arizona | MEDICAID | 626864 | |
| Arizona | Other | 370019741 |
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