Clarke, Brenda L

Clarke, Brenda L is an individual health care provider with primary practice located at 25 W Main St , West Carrollton OH 45449-1419. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clarke, Brenda L can be contacted via phone (937) 866-0809.

Contact Information

Primary practice address
25 W Main St West Carrollton OH 45449-1419
Phone: (937) 866-0809
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1174592406
LBN Legal business name Clarke, Brenda L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174592406 NPPES
Ohio MEDICAID 2348436

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