Clark, Margie Ann

Clark, Margie Ann is an sole proprietor health care provider with primary practice located at 3805 Fiesta Way , Middletown OH 45044-6113. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Margie Ann can be contacted via phone (513) 594-6477.

Contact Information

Primary practice address
3805 Fiesta Way Middletown OH 45044-6113
Phone: (513) 594-6477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.060868 Ohio
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5164948 Florida

Profile Details

NPI number 1376664649
LBN Legal business name Clark, Margie Ann
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Mar 18th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376664649 NPPES
Ohio MEDICAID 0940895634-03

Popular Providers