Vincent, Clarence J
Vincent, Clarence J is an individual health care provider with primary practice located at 952 Seton Dr , Cumberland MD 21502-1950. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vincent, Clarence J can be contacted via phone (301) 777-3522.Contact Information
Primary practice address
952 Seton Dr
Cumberland MD 21502-1950
Phone: (301) 777-3522
Fax: (301) 777-1902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0017474 | Maryland |
Profile Details
| NPI number | 1457354516 |
|---|---|
| LBN Legal business name | Vincent, Clarence J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jul 25th, 2007 - about 19 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 | 1457354516 | NPPES |
| West Virginia | Other | 001717208 | MT ST BLUE SHIELD |
| West Virginia | Other | J2490005 | MT ST BLUE SHIELD |
| West Virginia | MEDICAID | 1012103550001 | MT ST BLUE SHIELD |
| West Virginia | MEDICAID | 0086105000 | MT ST BLUE SHIELD |
| West Virginia | MEDICAID | 411501500 | MT ST BLUE SHIELD |
| West Virginia | Other | J2480005 | MT ST BLUE SHIELD |
| West Virginia | Other | P00139754 | MT ST BLUE SHIELD |
Popular Providers
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Kim, Jong K
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