Clemens, Dylan James

Clemens, Dylan James is an individual health care provider with primary practice located at 9 Healthcare Dr Ste 202 , Biddeford ME 04005-9450. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clemens, Dylan James can be contacted via phone (207) 283-1427.

Contact Information

Primary practice address
9 Healthcare Dr Ste 202 Biddeford ME 04005-9450
Phone: (207) 283-1427
Fax: (207) 294-3554
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA6799 Massachusetts

Profile Details

NPI number 1811481807
LBN Legal business name Clemens, Dylan James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2018
Last updated Oct 19th, 2024 - about 2 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 1811481807 NPPES
New Hampshire MEDICAID 3125653

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