Fardink, Jennifer R

Fardink, Jennifer R is an individual health care provider with primary practice located at 1477 Tiny Town Rd # 252 , Clarksville TN 37042-7202. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Fardink, Jennifer R can be contacted via phone (928) 919-4566.

Contact Information

Primary practice address
1477 Tiny Town Rd # 252 Clarksville TN 37042-7202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 99102 Texas

Profile Details

NPI number 1497063671
LBN Legal business name Fardink, Jennifer R
Credentials LM, CPM
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2010
Last updated Sep 6th, 2018 - about 7 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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