Clemett, John

Clemett, John is an individual health care provider with primary practice located at 19020 33Rd Ave W Suite 210, Lynnwood WA 98036-4746. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clemett, John can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Suite 210 Lynnwood WA 98036-4746
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00031112 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00031112 Washington

Profile Details

NPI number 1023082732
LBN Legal business name Clemett, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 20th, 2017 - about 7 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 1023082732 NPPES
Other CL5689 REGENCE
Other 109454 REGENCE
MEDICAID 8149999 REGENCE
Other 0348932 REGENCE
Other 0348933 REGENCE
Other 0348935 REGENCE
Other 300068357 REGENCE
Other 0348930 REGENCE
MEDICAID 1000592 REGENCE
Other 4484036 REGENCE
Other 8919559 REGENCE

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