Clime, Mary Lou
Clime, Mary Lou is an sole proprietor health care provider with primary practice located at 704 Magnolia St , New Smyrna Beach FL 32168-7438. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Clime, Mary Lou can be contacted via phone (386) 409-3486.Contact Information
Primary practice address
704 Magnolia St
New Smyrna Beach FL 32168-7438
Phone: (386) 409-3486
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X |
Profile Details
| NPI number | 1639344419 |
|---|---|
| LBN Legal business name | Clime, Mary Lou |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 2008 - about 16 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 | 1639344419 | NPPES |
| Florida | MEDICAID | 230395700 |
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