Clemens, Marnie

Clemens, Marnie is an individual health care provider with primary practice located at 306 W Main St , Bridgeport WV 26330-1751. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clemens, Marnie can be contacted via phone (304) 842-3137.

Contact Information

Primary practice address
306 W Main St Bridgeport WV 26330-1751
Fax: (304) 842-3138
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 001091 West Virginia

Profile Details

NPI number 1588666549
LBN Legal business name Clemens, Marnie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Sep 15th, 2017 - about 7 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 1588666549 NPPES
West Virginia Other 01071873100 WORKERS' COMPENSATION
West Virginia Other 010718731002 WORKERS' COMPENSATION
West Virginia MEDICAID 0157976001 WORKERS' COMPENSATION
West Virginia Other 650023876 WORKERS' COMPENSATION
West Virginia Other 7508068 WORKERS' COMPENSATION
West Virginia Other 398791 WORKERS' COMPENSATION
West Virginia Other 79582 WORKERS' COMPENSATION
West Virginia Other WV51916B WORKERS' COMPENSATION
West Virginia Other 1382862 WORKERS' COMPENSATION

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