Clemens, Cynthia Ann
Clemens, Cynthia Ann is an sole proprietor health care provider with primary practice located at 13117 Sunridge Way E , Puyallup WA 98374-4845. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clemens, Cynthia Ann can be contacted via phone (253) 905-7635.Contact Information
Primary practice address
13117 Sunridge Way E
Puyallup WA 98374-4845
Phone: (253) 905-7635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OT00001124 | Washington |
Profile Details
| NPI number | 1770640864 |
|---|---|
| LBN Legal business name | Clemens, Cynthia Ann |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 9th, 2007 - 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 | 1770640864 | NPPES |
| Washington | MEDICAID | 7682511 | |
| Washington | Other | 4697CL |
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