Clement, Doris

Clement, Doris is an individual health care provider with primary practice located at 8660 S Park Rd , Rogers AR 72756-7470. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clement, Doris can be contacted via phone (479) 659-2317.

Contact Information

Primary practice address
8660 S Park Rd Rogers AR 72756-7470
Phone: (479) 659-2317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1223 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01245 Oklahoma

Profile Details

NPI number 1114916947
LBN Legal business name Clement, Doris
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 5th, 2013 - about 11 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 1114916947 NPPES
Arkansas MEDICAID 135402721
Arkansas MEDICAID 100835960A

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