Clever, William

Clever, William is an sole proprietor health care provider with primary practice located at 207 E Main St Ste 2E , Johnson City TN 37604-5749. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Clever, William can be contacted via phone (423) 282-2516.

Contact Information

Primary practice address
207 E Main St Ste 2E Johnson City TN 37604-5749
Phone: (423) 282-2516
Fax: (423) 282-3743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN 8014 Tennessee

Profile Details

NPI number 1982608758
LBN Legal business name Clever, William
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jul 7th, 2009 - about 15 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 1982608758 NPPES
Tennessee Other 4135121 BLUE CARE
Tennessee Other 203807201 BLUE CARE
Tennessee MEDICAID 3642412 BLUE CARE
Tennessee Other 4135121 BLUE CARE

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