Clark, Antoinette Sophia

Clark, Antoinette Sophia is an sole proprietor health care provider with primary practice located at 106 N Water St , Georgetown OH 45121-1332. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Antoinette Sophia can be contacted via phone (513) 502-4772.

Contact Information

Primary practice address
106 N Water St Georgetown OH 45121-1332
Phone: (513) 502-4772
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 150730 Ohio

Profile Details

NPI number 1902089717
LBN Legal business name Clark, Antoinette Sophia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2007
Last updated Jun 8th, 2014 - about 10 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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