Clement, John Kevin
Clement, John Kevin is an sole proprietor health care provider with primary practice located at 15 Old Stage Rd Suite A, Greeneville TN 37745-3078. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clement, John Kevin can be contacted via phone (423) 639-8856.Contact Information
Primary practice address
15 Old Stage Rd Suite A
Greeneville TN 37745-3078
Phone: (423) 639-8856
Fax: (423) 639-8227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODT 1457 | Tennessee |
Profile Details
| NPI number | 1740282417 |
|---|---|
| LBN Legal business name | Clement, John Kevin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 24th, 2010 - about 14 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 | 1740282417 | NPPES |
| Tennessee | Other | 4085057 | BLUCROSS BLUESHIELD OF TN |
| Tennessee | MEDICAID | 3946021 | BLUCROSS BLUESHIELD OF TN |
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