John T Clardy Sr Md Inc

LBN: John T Clardy Sr Md Inc
John T Clardy Sr Md Inc is an health care organization with primary practice located at 215 8Th St , Clarksville TN 37040-3249. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty. John T Clardy Sr Md Inc can be contacted via phone (931) 503-0182, or through Clardy, John Thomas via phone (931) 503-0182.

Contact Information

Primary practice address
215 8Th St Clarksville TN 37040-3249
Phone: (931) 503-0182
Fax: (931) 503-0192
Website:
Map and Directions
Authorized official contact:
Name: Clardy, John Thomas Doctor of Medicine (MD)
Phone: (931) 503-0182

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD0000030062 Tennessee
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X MD0000030062 Tennessee

Profile Details

NPI number 1215126644
LBN Legal business name John T Clardy Sr Md Inc
DBA Doing business as
Authorized official Clardy, John Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Jan 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215126644 NPPES
Tennessee MEDICAID 38298152
Tennessee MEDICAID 38298151

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