Clark, Jeremiah Frank

Clark, Jeremiah Frank is an individual health care provider with primary practice located at 74 N 3Rd St , Creswell OR 97426-9649. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Clark, Jeremiah Frank can be contacted via phone (541) 221-1262.

Contact Information

Primary practice address
74 N 3Rd St Creswell OR 97426-9649
Phone: (541) 221-1262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13589 Oregon

Profile Details

NPI number 1750656708
LBN Legal business name Clark, Jeremiah Frank
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated Mar 8th, 2012 - about 13 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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