Phelps, Clarissa M
Phelps, Clarissa M is an sole proprietor health care provider with primary practice located at 1180 Newfield Ave , Stamford CT 06905-1409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phelps, Clarissa M can be contacted via phone (314) 888-5233.Contact Information
Primary practice address
1180 Newfield Ave
Stamford CT 06905-1409
Phone: (314) 888-5233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39647 | Kentucky |
Profile Details
| NPI number | 1366416885 |
|---|---|
| LBN Legal business name | Phelps, Clarissa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 20th, 2023 - about last year |
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 | 1366416885 | NPPES |
| Other | P002770084 | RAILROAD MEDICARE | |
| Other | 000000546325 | RAILROAD MEDICARE | |
| Other | 027299800 | RAILROAD MEDICARE |
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