Smith, Clement Gustavous
Smith, Clement Gustavous is an sole proprietor health care provider with primary practice located at 3081 Jody Street , Port Charlotte FL 33948. He recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as his primary health care specialty. Smith, Clement Gustavous can be contacted via phone (941) 764-7461.Contact Information
Primary practice address
3081 Jody Street
Port Charlotte FL 33948
Phone: (941) 764-7461
Fax: (941) 764-7461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X |
Profile Details
| NPI number | 1023362373 |
|---|---|
| LBN Legal business name | Smith, Clement Gustavous |
| Credentials | CAREGIVER |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2012 |
| Last updated | Nov 7th, 2012 - about 14 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 | 1023362373 | NPPES |
| Florida | MEDICAID | 000957800 |
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