Clemmens, Michael R

Clemmens, Michael R is an individual health care provider with primary practice located at 2001 Medical Pkwy , Annapolis MD 21401-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Clemmens, Michael R can be contacted via phone (443) 481-1000.

Contact Information

Primary practice address
2001 Medical Pkwy Annapolis MD 21401-3280
Phone: (443) 481-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0041415 Maryland

Profile Details

NPI number 1730177262
LBN Legal business name Clemmens, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Dec 8th, 2013 - about 12 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 1730177262 NPPES
Maryland Other 2559709 2573474 AETNA HMO
Maryland MEDICAID 507000702 AETNA HMO
Maryland MEDICAID 079171700 AETNA HMO
Maryland Other 52427806 AETNA HMO
Maryland Other Y1220005 AETNA HMO

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