Monahan, Clark V
Monahan, Clark V is an individual health care provider with primary practice located at 419 Anastasia Blvd. , St. Augustine FL 32080-4508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Monahan, Clark V can be contacted via phone (904) 824-8353.Contact Information
Primary practice address
419 Anastasia Blvd.
St. Augustine FL 32080-4508
Phone: (904) 824-8353
Fax: (904) 824-5705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | CH002385 | Florida |
Profile Details
NPI number | 1982622593 |
---|---|
LBN Legal business name | Monahan, Clark V |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Mar 26th, 2014 - about 10 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 | 1982622593 | NPPES |
Florida | MEDICAID | 050018600 | |
Florida | Other | 89830 |
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