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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639344419 NPPES
Florida MEDICAID 230395700

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