Toothman, Clara Jane
Toothman, Clara Jane is an individual health care provider with primary practice located at 24294 Teal Drive , Abingdon VA 24211-6160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Toothman, Clara Jane can be contacted via phone (276) 628-8303.Contact Information
Primary practice address
24294 Teal Drive
Abingdon VA 24211-6160
Phone: (276) 628-8303
Fax: (276) 466-4815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101018251 | Virginia |
Profile Details
NPI number | 1407872807 |
---|---|
LBN Legal business name | Toothman, Clara Jane |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2006 |
Last updated | Dec 16th, 2011 - about 13 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 | 1407872807 | NPPES |
Virginia | MEDICAID | 010180023 | |
Virginia | Other | 179147 | |
Virginia | Other | TN0101 | |
Virginia | Other | 4107171 | |
Virginia | Other | P00228647 |
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