Jennifer C Clemente-Metz in Charlestown - Addiction Medicine
Jennifer C Clemente-Metz - NPI 1962562801
Jennifer C Clemente-Metz is a Addiction Medicine in Charlestown, Indiana. Jennifer C Clemente-Metz practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jennifer C Clemente-Metz is 1962562801. The last update date is 2021-11-08.
Jennifer C Clemente-Metz's current location address is 2100 Market St Ste 101, Charlestown, Indiana. You can contact this provider via phone number 8125035100 and fax number 7705739513. The mailing address for Jennifer C Clemente-Metz is 2100 Market St Ste 101, Charlestown, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer C Clemente-Metz |
|---|---|
| Address | 2100 Market St Ste 101, Charlestown, Indiana |
| Phone Number | 8125035100 |
| Fax Number | 7705739513 |
| Sole Proprietor | Y |
| Credentials | PA-C, M.S. |
NPI Number Detail
| NPI Number | 1962562801 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2021-11-08 |
Provider Mailing Address Detail
| Address | 2100 Market St Ste 101 |
|---|---|
| City | Charlestown |
| State | Indiana (IN) |
| Post Code | 471119535 |
| Phone Number | 8125035100 |
| Fax Number | 7705739513 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 10000891A |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA745 | KY | STATE LICENSE | |
| 10000891A | IN | STATE LICENSE | |
| 300006743 | IN | -- | |
| IN3604007 | IN | MEDICARE INDIANA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jennifer C Clemente-Metz by the Centers for Medicare & Medicaid Services?
The Jennifer C Clemente-Metz has been assigned the NPI (National Provider Identifier) 1962562801 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jennifer C Clemente-Metz's physical address?
The Jennifer C Clemente-Metz is physically located at 2100 Market St Ste 101, in the city of Charlestown, IN, with the postal code 471119535.
What is Jennifer C Clemente-Metz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer C Clemente-Metz's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Ra0401X.
On what date did the Jennifer C Clemente-Metz receive its 1962562801 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer C Clemente-Metz was assigned its 1962562801 by the Centers for Medicare & Medicaid Services on 2006-12-11.
As of what date was the information regarding Jennifer C Clemente-Metz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer C Clemente-Metz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-08.