Clemens, Michael Avery

Clemens, Michael Avery is an sole proprietor health care provider with primary practice located at 8290 Old Courthouse Rd Ste D , Vienna VA 22182-3837. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clemens, Michael Avery can be contacted via phone (703) 448-8818.

Contact Information

Primary practice address
8290 Old Courthouse Rd Ste D Vienna VA 22182-3837
Fax: (703) 448-0468
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101043568 Virginia

Profile Details

NPI number 1801115258
LBN Legal business name Clemens, Michael Avery
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2010
Last updated May 25th, 2010 - about 15 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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