Toothman, Clara Jane

Toothman, Clara Jane is an individual health care provider with primary practice located at 24294 Teal Drive , Abingdon VA 24211-6160. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Toothman, Clara Jane can be contacted via phone (276) 628-8303.

Contact Information

Primary practice address
24294 Teal Drive Abingdon VA 24211-6160
Phone: (276) 628-8303
Fax: (276) 466-4815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101018251 Virginia

Profile Details

NPI number 1407872807
LBN Legal business name Toothman, Clara Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Dec 16th, 2011 - about 15 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 1407872807 NPPES
Virginia MEDICAID 010180023
Virginia Other 179147
Virginia Other TN0101
Virginia Other 4107171
Virginia Other P00228647

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