Clark, Andrea

Clark, Andrea is an sole proprietor health care provider with primary practice located at 2300 Seaman St Apt. 101, Toledo OH 43605-1952. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Clark, Andrea can be contacted via phone (419) 810-2055.

Contact Information

Primary practice address
2300 Seaman St Apt. 101 Toledo OH 43605-1952
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1407238660
LBN Legal business name Clark, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2015
Last updated Jun 24th, 2015 - about 9 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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