Monahan, Clark V

Monahan, Clark V is an individual health care provider with primary practice located at 419 Anastasia Blvd. , St. Augustine FL 32080-4508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Monahan, Clark V can be contacted via phone (904) 824-8353.

Contact Information

Primary practice address
419 Anastasia Blvd. St. Augustine FL 32080-4508
Phone: (904) 824-8353
Fax: (904) 824-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH002385 Florida

Profile Details

NPI number 1982622593
LBN Legal business name Monahan, Clark V
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982622593 NPPES
Florida MEDICAID 050018600
Florida Other 89830

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