Oommen, Clint Joseph
Oommen, Clint Joseph is an individual health care provider with primary practice located at 400 Matthew St Ste 302 , Marietta OH 45750-1656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Oommen, Clint Joseph can be contacted via phone (740) 568-5207.Contact Information
Primary practice address
400 Matthew St Ste 302
Marietta OH 45750-1656
Phone: (740) 568-5207
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.137006 | Ohio |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 49431 | Arizona |
Profile Details
NPI number | 1548588775 |
---|---|
LBN Legal business name | Oommen, Clint Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2010 |
Last updated | Apr 7th, 2021 - about 4 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 | 1548588775 | NPPES |
Arizona | MEDICAID | PENDING |
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