Clemens, Thomas M

Clemens, Thomas M is an individual health care provider with primary practice located at 775 Norman Dr , Lebanon PA 17042-7497. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Clemens, Thomas M can be contacted via phone (717) 274-5500.

Contact Information

Primary practice address
775 Norman Dr Lebanon PA 17042-7497
Phone: (717) 274-5500
Fax: (717) 202-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD015290E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD015290E Pennsylvania

Profile Details

NPI number 1316924426
LBN Legal business name Clemens, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Aug 30th, 2016 - about 10 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 1316924426 NPPES
Pennsylvania Other PO1680022 RAILROAD MEDICARE
Pennsylvania MEDICAID 0006428270004 RAILROAD MEDICARE

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