Clemens, Erin Marie
Clemens, Erin Marie is an individual health care provider with primary practice located at 2235 Tacketts Mill Dr Suite C, Woodbridge VA 22192-3036. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Clemens, Erin Marie can be contacted via phone (703) 491-1044.Contact Information
Primary practice address
2235 Tacketts Mill Dr Suite C
Woodbridge VA 22192-3036
Phone: (703) 491-1044
Fax: (703) 491-2044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 0119005220 | Virginia |
Profile Details
| NPI number | 1457418121 |
|---|---|
| LBN Legal business name | Clemens, Erin Marie |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Sep 4th, 2012 - about 14 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 | 1457418121 | NPPES |
| North Carolina | Other | 142TP | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 7301756 | BLUE CROSS BLUE SHIELD |
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