Clark, Jeremy Michael

Clark, Jeremy Michael is an sole proprietor health care provider with primary practice located at 714 N 4Th Ave , Paden City WV 26159-1614. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Clark, Jeremy Michael can be contacted via phone (757) 532-0680.

Contact Information

Primary practice address
714 N 4Th Ave Paden City WV 26159-1614
Phone: (757) 532-0680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1972107704
LBN Legal business name Clark, Jeremy Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Jan 7th, 2021 - about 3 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.

Request for update

Popular Providers