Clinton, Marianne

Clinton, Marianne is an individual health care provider with primary practice located at 1427 Broadway , Brooklyn NY 11221-4202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clinton, Marianne can be contacted via phone (347) 390-8706.

Contact Information

Primary practice address
1427 Broadway Brooklyn NY 11221-4202
Phone: (347) 390-8706
Fax: (347) 396-9785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29208 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G50695 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 167056 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 298988-1 New York

Profile Details

NPI number 1871561951
LBN Legal business name Clinton, Marianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 27th, 2019 - about 6 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 1871561951 NPPES
Oregon MEDICAID 096511
Oregon MEDICAID 22959

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