Clarke, Jeff F.
Clarke, Jeff F. is an sole proprietor health care provider with primary practice located at 1618 20Th St P.O.417, Central City NE 68826-2002. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clarke, Jeff F. can be contacted via phone (308) 946-5255.Contact Information
Primary practice address
1618 20Th St P.O.417
Central City NE 68826-2002
Phone: (308) 946-5255
Fax: (308) 946-2833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5050 | Nebraska |
Profile Details
| NPI number | 1033277470 |
|---|---|
| LBN Legal business name | Clarke, Jeff F. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033277470 | NPPES |
| Nebraska | Other | 47065395 | TAX ID. # |
| Nebraska | MEDICAID | 4706539500 | TAX ID. # |
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