Clements, Joel B

Clements, Joel B is an individual health care provider with primary practice located at 2108 E 3Rd St Suite 200, Chattanooga TN 37404-2600. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Clements, Joel B can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd St Suite 200 Chattanooga TN 37404-2600
Phone: (423) 267-0466
Fax: (423) 493-2395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD6312 Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD6312 Tennessee

Profile Details

NPI number 1548254261
LBN Legal business name Clements, Joel B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 11th, 2015 - about 9 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 1548254261 NPPES
Other 2006413 BCBS OF TN
MEDICAID 3158173 BCBS OF TN
Other 020041617 BCBS OF TN
Other 1740069 BCBS OF TN
MEDICAID 00063269A BCBS OF TN
Other 62165877414 BCBS OF TN
MEDICAID 009933930 BCBS OF TN
MEDICAID 890658Y BCBS OF TN

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