Clement, Jeffrey D

Clement, Jeffrey D is an individual health care provider with primary practice located at 1076 N Main St , Providence RI 02904-5760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Clement, Jeffrey D can be contacted via phone (401) 861-7711.

Contact Information

Primary practice address
1076 N Main St Providence RI 02904-5760
Phone: (401) 861-7711
Fax: (401) 421-5710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RI09696 Rhode Island
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X RI09696 Rhode Island

Profile Details

NPI number 1164420576
LBN Legal business name Clement, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Dec 4th, 2015 - 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 1164420576 NPPES
Rhode Island MEDICAID 7006284

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