Clark, Lucy Ann
Clark, Lucy Ann is an sole proprietor health care provider with primary practice located at 432 2Nd St S , Jacksonville Beach FL 32250-6764. She recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as her primary health care specialty. Clark, Lucy Ann can be contacted via phone (352) 235-2125.Contact Information
Primary practice address
432 2Nd St S
Jacksonville Beach FL 32250-6764
Phone: (352) 235-2125
Fax: (352) 473-9572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Mechanotherapist | 172M00000X | MA0013899 | Florida |
Profile Details
| NPI number | 1558585760 |
|---|---|
| LBN Legal business name | Clark, Lucy Ann |
| Credentials | LUCY CLARK |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558585760 | NPPES |
| Florida | Other | C7459 | BCBS PROVIDER |
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