Clemons, Steven L

Clemons, Steven L is an individual health care provider with primary practice located at 682 Canter Ln , Cookeville TN 38501-4523. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clemons, Steven L can be contacted via phone (931) 526-8513.

Contact Information

Primary practice address
682 Canter Ln Cookeville TN 38501-4523
Phone: (931) 526-8513
Fax: (931) 526-5422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 37325 Tennessee

Profile Details

NPI number 1124052972
LBN Legal business name Clemons, Steven L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 12th, 2015 - about 10 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 1124052972 NPPES
Tennessee MEDICAID 3882671
Tennessee Other 203554085
Tennessee MEDICAID 3732052
Tennessee Other 4114638

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