Clemens, Regina Alice

Clemens, Regina Alice is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Clemens, Regina Alice can be contacted via phone (314) 454-2527.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Critical Care Med Saint Louis MO 63110-1002
Fax: (314) 747-8880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016037290 Missouri
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2016037290 Missouri

Profile Details

NPI number 1366676801
LBN Legal business name Clemens, Regina Alice
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2009
Last updated Apr 25th, 2024 - about 7 months 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 1366676801 NPPES
Missouri MEDICAID 200038872

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