Clark, Katie Renee

Clark, Katie Renee is an sole proprietor health care provider with primary practice located at 4502 Gallia St , New Boston OH 45662-5541. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Katie Renee can be contacted via phone (740) 529-7020.

Contact Information

Primary practice address
4502 Gallia St New Boston OH 45662-5541
Phone: (740) 529-7020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1720788680
LBN Legal business name Clark, Katie Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2023
Last updated Mar 8th, 2023 - about 2 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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