Clemenz, Brent

Clemenz, Brent is an individual health care provider with primary practice located at 670 N 36Th St , Lafayette IN 47905-4474. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clemenz, Brent can be contacted via phone (765) 446-8412.

Contact Information

Primary practice address
670 N 36Th St Lafayette IN 47905-4474
Phone: (765) 446-8412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005245A Indiana

Profile Details

NPI number 1710003363
LBN Legal business name Clemenz, Brent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 19 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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