Clements, David H

Clements, David H is an individual health care provider with primary practice located at 4424 E Flamingo Ave Suite 110, Nampa ID 83687. 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. Clements, David H can be contacted via phone (208) 288-4700.

Contact Information

Primary practice address
4424 E Flamingo Ave Suite 110 Nampa ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA500 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-500 Idaho

Profile Details

NPI number 1114917168
LBN Legal business name Clements, David H
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 22nd, 2014 - about 11 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 1114917168 NPPES
Idaho Other 000010147756 BLUE SHIELD
Idaho Other PANZY7 BLUE SHIELD
Idaho Other P00159990 BLUE SHIELD
Idaho MEDICAID 806955800 BLUE SHIELD
Idaho Other PANY9 BLUE SHIELD

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