Clinton, Taryn
Clinton, Taryn is an sole proprietor health care provider with primary practice located at 9063 Galloway Dr , Jacksonville FL 32219-4382. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Clinton, Taryn can be contacted via phone (904) 729-5667.Contact Information
Primary practice address
9063 Galloway Dr
Jacksonville FL 32219-4382
Phone: (904) 729-5667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Florida |
Profile Details
| NPI number | 1619362498 |
|---|---|
| LBN Legal business name | Clinton, Taryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Mar 30th, 2015 - about 11 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 | 1619362498 | NPPES |
| Florida | MEDICAID | 013901200 |
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