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
Phone: (304) 842-3137
Fax: (304) 842-3138
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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