Clydesdale, Jeffrey Scot
Clydesdale, Jeffrey Scot is an individual health care provider with primary practice located at 336 Ludwig Dr , Circleville OH 43113-9124. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clydesdale, Jeffrey Scot can be contacted via phone (740) 412-3741.Contact Information
Primary practice address
336 Ludwig Dr
Circleville OH 43113-9124
Phone: (740) 412-3741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1790319721 |
|---|---|
| LBN Legal business name | Clydesdale, Jeffrey Scot |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2020 |
| Last updated | Feb 28th, 2020 - about 4 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 | 1790319721 | NPPES |
| Other | 364811 | STUDENT |
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