Clemmons, David

Clemmons, David is an individual health care provider with primary practice located at 913 E Ogden Ave , Las Vegas NV 89101-4234. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Clemmons, David can be contacted via phone (702) 689-5015.

Contact Information

Primary practice address
913 E Ogden Ave Las Vegas NV 89101-4234
Phone: (702) 689-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1114698248
LBN Legal business name Clemmons, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2021
Last updated Sep 28th, 2021 - about 4 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 1114698248 NPPES
Nevada MEDICAID 1053975078

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