Clemens, Roy Dale
Clemens, Roy Dale is an individual health care provider with primary practice located at 451 S Holly St , Siloam Springs AR 72761-3018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clemens, Roy Dale can be contacted via phone (479) 524-3141.Contact Information
Primary practice address
451 S Holly St
Siloam Springs AR 72761-3018
Phone: (479) 524-3141
Fax: (479) 524-3090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C5385 | Arkansas |
Profile Details
| NPI number | 1992755367 |
|---|---|
| LBN Legal business name | Clemens, Roy Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1992755367 | NPPES |
| Arkansas | Other | 51059 | BCBS AR |
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