Clark, Jeff
Clark, Jeff is an sole proprietor health care provider with primary practice located at 118 E Choccolocco St , Oxford AL 36203-1222. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Jeff can be contacted via phone (256) 831-4601.Contact Information
Primary practice address
118 E Choccolocco St
Oxford AL 36203-1222
Phone: (256) 831-4601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1972128148 |
|---|---|
| LBN Legal business name | Clark, Jeff |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2020 |
| Last updated | Jun 12th, 2020 - about 5 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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