Clark, Jacquelyn M
Clark, Jacquelyn M is an sole proprietor health care provider with primary practice located at 1228 Walnut St Apt 2 , Cincinnati OH 45202-7135. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Clark, Jacquelyn M can be contacted via phone (513) 766-2631.Contact Information
Primary practice address
1228 Walnut St Apt 2
Cincinnati OH 45202-7135
Phone: (513) 766-2631
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN450440 | Ohio |
Profile Details
NPI number | 1598390635 |
---|---|
LBN Legal business name | Clark, Jacquelyn M |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2020 |
Last updated | Mar 9th, 2020 - about 4 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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