Clyman, Katherine R
Clyman, Katherine R is an individual health care provider with primary practice located at 7862 El Cajon Blvd , La Mesa CA 91942-6712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Clyman, Katherine R can be contacted via phone (801) 953-5957.Contact Information
Primary practice address
7862 El Cajon Blvd
La Mesa CA 91942-6712
Phone: (801) 953-5957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 54014671205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A98484 | California |
Profile Details
| NPI number | 1497789747 |
|---|---|
| LBN Legal business name | Clyman, Katherine R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497789747 | NPPES |
| Nevada | MEDICAID | 100509884 | |
| Nevada | MEDICAID | 807481200 | |
| Nevada | MEDICAID | 8704683770001 |
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