Clemons, Charles T.

Clemons, Charles T. is an individual health care provider with primary practice located at 926 Raintree Pl , Lafayette CA 94549-4816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Clemons, Charles T. can be contacted via phone (925) 942-0451.

Contact Information

Primary practice address
926 Raintree Pl Lafayette CA 94549-4816
Phone: (925) 942-0451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C39170 California
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X C39170 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C39170 California

Profile Details

NPI number 1730239542
LBN Legal business name Clemons, Charles T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Feb 26th, 2008 - about 17 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 1730239542 NPPES
California MEDICAID 00C391700

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