Clendenin, John B

Clendenin, John B is an individual health care provider with primary practice located at 1412 E Reelfoot Ave , Union City TN 38261-5813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clendenin, John B can be contacted via phone (731) 885-5131.

Contact Information

Primary practice address
1412 E Reelfoot Ave Union City TN 38261-5813
Phone: (731) 885-5131
Fax: (731) 885-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25947 Tennessee

Profile Details

NPI number 1265412563
LBN Legal business name Clendenin, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 25th, 2016 - about 10 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 1265412563 NPPES
Tennessee Other 080090136 RAILROAD MEDICARE
Tennessee MEDICAID 3084699 RAILROAD MEDICARE

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