Clement, Jack

Clement, Jack is an individual health care provider with primary practice located at 260 Lookout Pl , Maitland FL 32751-4492. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clement, Jack can be contacted via phone (407) 647-1781.

Contact Information

Primary practice address
260 Lookout Pl Maitland FL 32751-4492
Phone: (407) 647-1781
Fax: (407) 647-4628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002935 Florida

Profile Details

NPI number 1881806115
LBN Legal business name Clement, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 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.

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