Marnie Clemens is a Specialist in Bridgeport, . Marnie Clemens practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marnie Clemens is 1588666549. The last update date is 2017-09-15.
Marnie Clemens's current location address is 104 Orchard Ave, Bridgeport, . You can contact this provider via phone number 3048426008. The mailing address for Marnie Clemens is 104 Orchard Ave, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marnie Clemens |
|---|---|
| Address | 104 Orchard Ave, Bridgeport, |
| Phone Number | 3048426008 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1588666549 |
|---|---|
| Provider Enumeration Date | 2005-06-02 |
| Last Updated Date | 2017-09-15 |
Provider Mailing Address Detail
| Address | 104 Orchard Ave |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 2633017360 |
| Phone Number | 3048426008 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1091 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1071873100 | WV | WORKERS' COMPENSATION | |
| 10718731002 | WV | BC/BS | |
| 157976001 | WV | -- | |
| 650023876 | WV | RAILRAOD MEDICARE | |
| 7508068 | WV | AETNA | |
| 398791 | WV | OPTIMUM CHOICE | |
| 79582 | WV | HEALTH ASSURANCE | |
| WV51916B | WV | HEALTH PLAN | |
| 1382862 | WV | UMWA |
Post Comment/ Review Below
What is the unique identifier code issued to Marnie Clemens by the Centers for Medicare & Medicaid Services (CMS)?
The Marnie Clemens has been assigned the NPI (National Provider Identifier) 1588666549. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Marnie Clemens is physically located?
The Marnie Clemens is physically situated at the following address: 104 Orchard Ave, Bridgeport, WV, 2633017360.
What is Marnie Clemens's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Marnie Clemens is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Marnie Clemens's 1588666549 issued?
The Marnie Clemens's 1588666549 was issued on 2005-06-02.
When was the Marnie Clemens's information last updated?
The Marnie Clemens's information was last updated on 2017-09-15.