Clement, Paul A

Clement, Paul A is an sole proprietor health care provider with primary practice located at 2901 E College Ave Suite 976, State College PA 16801-7577. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clement, Paul A can be contacted via phone (814) 234-3047.

Contact Information

Primary practice address
2901 E College Ave Suite 976 State College PA 16801-7577
Fax: (814) 238-0898
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000756 Pennsylvania

Profile Details

NPI number 1619966991
LBN Legal business name Clement, Paul A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Mar 7th, 2023 - about 3 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 1619966991 NPPES
Pennsylvania Other OEG000756 LICENSE
Pennsylvania MEDICAID 0005458970007 LICENSE

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