Clack, Jaymie Claire

Clack, Jaymie Claire is an individual health care provider with primary practice located at 11811 Fm 1960 West Suite 102, Houston TX 77065. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Clack, Jaymie Claire can be contacted via phone (281) 469-8163.

Contact Information

Primary practice address
11811 Fm 1960 West Suite 102 Houston TX 77065
Phone: (281) 469-8163
Fax: (281) 469-5559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 110009 Texas

Profile Details

NPI number 1083682736
LBN Legal business name Clack, Jaymie Claire
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 21st, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083682736 NPPES
Texas Other 8T1955 BLUE CROSS BLUE SHIELD

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