Clemmons, Richard Seawell

Clemmons, Richard Seawell is an individual health care provider with primary practice located at 1375 E 20Th Ave , Denver CO 80205-5422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clemmons, Richard Seawell can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 20Th Ave Denver CO 80205-5422
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 50255 Colorado
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 49694 Minnesota

Profile Details

NPI number 1164640942
LBN Legal business name Clemmons, Richard Seawell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Apr 28th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164640942 NPPES
Minnesota MEDICAID 021650000
Minnesota MEDICAID 9000124605
Minnesota Other COA107357
Minnesota Other 028964

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