Clark, Jay Christian
Clark, Jay Christian is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Amc HI 96859-5001. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Clark, Jay Christian can be contacted via phone (888) 683-2778.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Amc HI 96859-5001
Phone: (888) 683-2778
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Military Health Care Provider | 171000000X | ||
Other Service Providers / Military Health Care Provider | 171000000X | DOSR-617 | Hawaii |
Profile Details
NPI number | 1619664505 |
---|---|
LBN Legal business name | Clark, Jay Christian |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2023 |
Last updated | Feb 20th, 2024 - about last year |
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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