Clark, Tonya Lynn

Clark, Tonya Lynn is an sole proprietor health care provider with primary practice located at 32 Klicher Rd , Gallipolis OH 45631-8893. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Tonya Lynn can be contacted via phone (740) 446-2432.

Contact Information

Primary practice address
32 Klicher Rd Gallipolis OH 45631-8893
Phone: (740) 446-2432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 103898 Ohio

Profile Details

NPI number 1679694145
LBN Legal business name Clark, Tonya Lynn
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679694145 NPPES
Ohio MEDICAID 2260897

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