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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548588775 NPPES
Arizona MEDICAID PENDING

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