Clemmons, Shirley Louise

Clemmons, Shirley Louise is an individual health care provider with primary practice located at 1336 E Wisconsin Ave , Appleton WI 54911-3969. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Clemmons, Shirley Louise can be contacted via phone (920) 733-7525.

Contact Information

Primary practice address
1336 E Wisconsin Ave Appleton WI 54911-3969
Phone: (920) 733-7525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 424 Wisconsin

Profile Details

NPI number 1326248360
LBN Legal business name Clemmons, Shirley Louise
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Jul 18th, 2007 - about 18 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 1326248360 NPPES
Wisconsin Other 424 WI STATE LICENSE
Wisconsin MEDICAID 42823200 WI STATE LICENSE

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