Clarke, Adam J

Clarke, Adam J is an sole proprietor health care provider with primary practice located at 162 Hollywood Ave , Youngstown OH 44512. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Clarke, Adam J can be contacted via phone (330) 770-9792.

Contact Information

Primary practice address
162 Hollywood Ave Youngstown OH 44512
Phone: (330) 770-9792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1033712831
LBN Legal business name Clarke, Adam J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2020
Last updated Nov 16th, 2020 - about 5 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 1033712831 NPPES
Ohio MEDICAID 7803355

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