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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376664649 | NPPES |
| Ohio | MEDICAID | 0940895634-03 |
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