Clingman, Stephen R
Clingman, Stephen R is an individual health care provider with primary practice located at 750 N Broadway , Peru IN 46970-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clingman, Stephen R can be contacted via phone (260) 569-2120.Contact Information
Primary practice address
750 N Broadway
Peru IN 46970-1027
Phone: (260) 569-2120
Fax: (260) 569-2121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036-101503 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01070531A | Indiana |
Profile Details
| NPI number | 1891898326 |
|---|---|
| LBN Legal business name | Clingman, Stephen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 11th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891898326 | NPPES |
| Illinois | MEDICAID | 036101503 |
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