Clemment, Mary C

Clemment, Mary C is an individual health care provider with primary practice located at 4502 Milwaukee St , Madison WI 53714-2133. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clemment, Mary C can be contacted via phone (608) 249-2137.

Contact Information

Primary practice address
4502 Milwaukee St Madison WI 53714-2133
Phone: (608) 249-2137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 219 Wisconsin

Profile Details

NPI number 1942328919
LBN Legal business name Clemment, Mary C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 8th, 2012 - about 13 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 1942328919 NPPES
Wisconsin MEDICAID 40323400

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