Clark, Jerry Kent

Clark, Jerry Kent is an sole proprietor health care provider with primary practice located at 4611 Otter Ct , Burlington NC 27215-9076. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Clark, Jerry Kent can be contacted via phone (336) 263-0330.

Contact Information

Primary practice address
4611 Otter Ct Burlington NC 27215-9076
Phone: (336) 263-0330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6075 North Carolina

Profile Details

NPI number 1548664766
LBN Legal business name Clark, Jerry Kent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2014
Last updated Oct 17th, 2014 - about 11 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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