Desoto, Clint Jason

Desoto, Clint Jason is an sole proprietor health care provider with primary practice located at 461 Airbase Rd , Pollock LA 71467-3549. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Desoto, Clint Jason can be contacted via phone (318) 715-1792.

Contact Information

Primary practice address
461 Airbase Rd Pollock LA 71467-3549
Phone: (318) 715-1792
Fax: (318) 765-7641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 89464 Louisiana

Profile Details

NPI number 1326284563
LBN Legal business name Desoto, Clint Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2008
Last updated Dec 17th, 2008 - about 17 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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