Clark, Jon B
Clark, Jon B is an sole proprietor health care provider with primary practice located at 71 Walnut Blvd Suite 109, Rochester MI 48307-2073. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Clark, Jon B can be contacted via phone (248) 650-8990.Contact Information
Primary practice address
71 Walnut Blvd Suite 109
Rochester MI 48307-2073
Phone: (248) 650-8990
Fax: (248) 650-8990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301005160 | Michigan |
Profile Details
| NPI number | 1336118454 |
|---|---|
| LBN Legal business name | Clark, Jon B |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 7th, 2016 - about 10 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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