Clark, Jonathan

Clark, Jonathan is an sole proprietor health care provider with primary practice located at 14049 Scenic Hwy , Lookout Mountain GA 30750-4100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Jonathan can be contacted via phone (706) 419-1523.

Contact Information

Primary practice address
14049 Scenic Hwy Lookout Mountain GA 30750-4100
Phone: (706) 419-1523
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001654 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0000001292 Tennessee

Profile Details

NPI number 1841696820
LBN Legal business name Clark, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2014
Last updated Nov 18th, 2014 - about 12 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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