Clements, John K
Clements, John K is an sole proprietor health care provider with primary practice located at 1421 S Beverly St , Casper WY 82609-4131. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clements, John K can be contacted via phone (307) 237-6025.Contact Information
Primary practice address
1421 S Beverly St
Casper WY 82609-4131
Phone: (307) 237-6025
Fax: (307) 237-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 126T | Wyoming |
Profile Details
| NPI number | 1346337847 |
|---|---|
| LBN Legal business name | Clements, John K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Feb 3rd, 2020 - about 5 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 | 1346337847 | NPPES |
| Wyoming | MEDICAID | 104051100 |
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