Clark, Jeffrey
Clark, Jeffrey is an sole proprietor health care provider with primary practice located at Hhc 121St Gen Hospital Box #23 Unit 15244, Apo AP 96204-0017. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Clark, Jeffrey can be contacted via phone (904) 322-8495.Contact Information
Primary practice address
Hhc 121St Gen Hospital Box #23 Unit 15244
Apo AP 96204-0017
Phone: (904) 322-8495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | R124349 | Maryland |
Profile Details
| NPI number | 1992895080 |
|---|---|
| LBN Legal business name | Clark, Jeffrey |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 21st, 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.
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