Cormier, Clint M
Cormier, Clint M is an individual health care provider with primary practice located at 2508 Bert Kouns Industrial Loop Ste 210 , Shreveport LA 71118-3175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Cormier, Clint M can be contacted via phone (318) 212-5860.Contact Information
Primary practice address
2508 Bert Kouns Industrial Loop Ste 210
Shreveport LA 71118-3175
Phone: (318) 212-5860
Fax: (318) 212-5865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 024745 | Louisiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | M6087 | Texas |
Profile Details
| NPI number | 1861496770 |
|---|---|
| LBN Legal business name | Cormier, Clint M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jun 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861496770 | NPPES |
| Texas | Other | 8F9683 | BCBSTX |
| Texas | MEDICAID | 1553760 | BCBSTX |
| Texas | MEDICAID | 159052305 | BCBSTX |
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