Clemmons, Bree

Clemmons, Bree is an individual health care provider with primary practice located at 5838 Harbour View Blvd , Suffolk VA 23435-2663. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Clemmons, Bree can be contacted via phone (757) 879-1621.

Contact Information

Primary practice address
5838 Harbour View Blvd Suffolk VA 23435-2663
Phone: (757) 879-1621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126001810 Virginia

Profile Details

NPI number 1205263563
LBN Legal business name Clemmons, Bree
Credentials M.ED, ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 2nd, 2013 - about 11 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 1205263563 NPPES
Other 0126001810 VIRGINIA LICENSURE
Other 2000004854 VIRGINIA LICENSURE

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