Clark, Jerod

Clark, Jerod is an individual health care provider with primary practice located at 907 W Caddo St , Cleveland OK 74020-4201. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clark, Jerod can be contacted via phone (918) 607-5576.

Contact Information

Primary practice address
907 W Caddo St Cleveland OK 74020-4201
Phone: (918) 607-5576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1952015141
LBN Legal business name Clark, Jerod
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2023
Last updated Jan 11th, 2023 - 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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