Clemans, Dwight Raymond

Clemans, Dwight Raymond is an individual health care provider with primary practice located at 402 S Bolivar St , Marshall TX 75670-4110. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clemans, Dwight Raymond can be contacted via phone (903) 935-9100.

Contact Information

Primary practice address
402 S Bolivar St Marshall TX 75670-4110
Fax: (903) 935-9102
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 623027 Texas

Profile Details

NPI number 1891853685
LBN Legal business name Clemans, Dwight Raymond
Credentials RN. FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Feb 21st, 2008 - about 18 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 1891853685 NPPES
Texas Other 00W843 MEDICARE GROUP

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