Clemenshaw, Michael Neill
Clemenshaw, Michael Neill is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clemenshaw, Michael Neill can be contacted via phone (210) 916-4188.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (210) 916-4188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | P2216 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | P2216 | Texas |
Profile Details
| NPI number | 1053531368 |
|---|---|
| LBN Legal business name | Clemenshaw, Michael Neill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2007 |
| Last updated | Oct 3rd, 2023 - about last year |
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 | 1053531368 | NPPES |
| Georgia | Other | 83825 | GEORGIA MEDICAL LICENSE |
| Georgia | MEDICAID | 003226229A | GEORGIA MEDICAL LICENSE |
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