Clemens, Peter E

Clemens, Peter E is an sole proprietor health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clemens, Peter E can be contacted via phone (270) 825-5100.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1653
Phone: (270) 825-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39589 Kentucky

Profile Details

NPI number 1326021296
LBN Legal business name Clemens, Peter E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2005
Last updated Jun 20th, 2014 - about 10 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 1326021296 NPPES
Kentucky Other 000000523158 BCBS PROVIDER NUMBER
Kentucky MEDICAID 64113293 BCBS PROVIDER NUMBER

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