Clyman, Katherine R

Clyman, Katherine R is an individual health care provider with primary practice located at 7862 El Cajon Blvd , La Mesa CA 91942-6712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Clyman, Katherine R can be contacted via phone (801) 953-5957.

Contact Information

Primary practice address
7862 El Cajon Blvd La Mesa CA 91942-6712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 54014671205 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A98484 California

Profile Details

NPI number 1497789747
LBN Legal business name Clyman, Katherine R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 7th, 2022 - about 2 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 1497789747 NPPES
Nevada MEDICAID 100509884
Nevada MEDICAID 807481200
Nevada MEDICAID 8704683770001

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