Clements, John Carl
Clements, John Carl is an individual health care provider with primary practice located at 106 Alexander Bank Dr Ste 200 , Mooresville NC 28117-9624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Clements, John Carl can be contacted via phone (704) 660-2622.Contact Information
Primary practice address
106 Alexander Bank Dr Ste 200
Mooresville NC 28117-9624
Phone: (704) 660-2622
Fax: (704) 660-2633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9700509 | North Carolina |
Profile Details
| NPI number | 1881612364 |
|---|---|
| LBN Legal business name | Clements, John Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Sep 9th, 2020 - about 4 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 | 1881612364 | NPPES |
| North Carolina | MEDICAID | 891050T | |
| North Carolina | Other | 2238519A |
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