Tolley, Justin Clark

Tolley, Justin Clark is an sole proprietor health care provider with primary practice located at 1211 Keller Dr. , Mansfield OH 44905. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Tolley, Justin Clark can be contacted via phone (419) 612-1331.

Contact Information

Primary practice address
1211 Keller Dr. Mansfield OH 44905
Phone: (419) 612-1331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1356699201
LBN Legal business name Tolley, Justin Clark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2012
Last updated Aug 27th, 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.

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