Clark, Jill A

Clark, Jill A is an individual health care provider with primary practice located at 755 Scott Cir Bldg 559, Hickam Afb HI 96853-5399. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Jill A can be contacted via phone (808) 448-6371.

Contact Information

Primary practice address
755 Scott Cir Bldg 559 Hickam Afb HI 96853-5399
Phone: (808) 448-6371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 0402203160 Virginia

Profile Details

NPI number 1922061936
LBN Legal business name Clark, Jill A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Aug 6th, 2012 - about 13 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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