Clement, Marjorie Ann
Clement, Marjorie Ann is an individual health care provider with primary practice located at 304 Gray Street , Eau Claire WI 54701. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Clement, Marjorie Ann can be contacted via phone (715) 832-5566.Contact Information
Primary practice address
304 Gray Street
Eau Claire WI 54701
Phone: (715) 832-5566
Fax: (715) 552-4563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WI4349 | Wisconsin |
Profile Details
| NPI number | 1710038609 |
|---|---|
| LBN Legal business name | Clement, Marjorie Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 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 | 1710038609 | NPPES |
| Wisconsin | MEDICAID | 33745600 |
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