Clark, Jo Ann D

Clark, Jo Ann D is an individual health care provider with primary practice located at Cmr 454 Bx 2078 Usahc Katterbach, Katterbach GE 09250. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Clark, Jo Ann D can be contacted via phone 011499802833229.

Contact Information

Primary practice address
Cmr 454 Bx 2078 Usahc Katterbach Katterbach GE 09250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 28150675A Indiana

Profile Details

NPI number 1104908060
LBN Legal business name Clark, Jo Ann D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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