Clark, Jacquelyn
Clark, Jacquelyn is an sole proprietor health care provider with primary practice located at 2000 N Beltline Blvd Apt 102E , Columbia SC 29204-3976. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Jacquelyn can be contacted via phone (803) 814-2566.Contact Information
Primary practice address
2000 N Beltline Blvd Apt 102E
Columbia SC 29204-3976
Phone: (803) 814-2566
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1245768415 |
|---|---|
| LBN Legal business name | Clark, Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2017 |
| Last updated | May 31st, 2017 - about 9 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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