Clemson, Mar Y Louise

Clemson, Mar Y Louise is an sole proprietor health care provider with primary practice located at 602 Massachusetts Ave , Norfolk VA 23508-2118. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Clemson, Mar Y Louise can be contacted via phone (757) 622-6673.

Contact Information

Primary practice address
602 Massachusetts Ave Norfolk VA 23508-2118
Phone: (757) 622-6673
Fax: (757) 622-6673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1193801 Virginia

Profile Details

NPI number 1750563086
LBN Legal business name Clemson, Mar Y Louise
Credentials RNCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2007
Last updated Mar 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 1750563086 NPPES
Virginia Other C08982 MEDICARE
Virginia Other P00071810 MEDICARE
Virginia Other 101867 MEDICARE
Virginia Other 101868 MEDICARE

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