Prince, Clifton Jarrett
Prince, Clifton Jarrett is an sole proprietor health care provider with primary practice located at 401 Lincoln Park Drive , New Lexington OH 43764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prince, Clifton Jarrett can be contacted via phone (740) 342-5107.Contact Information
Primary practice address
401 Lincoln Park Drive
New Lexington OH 43764
Phone: (740) 342-5107
Fax: (740) 342-5351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35083418 | Ohio |
Profile Details
NPI number | 1154313203 |
---|---|
LBN Legal business name | Prince, Clifton Jarrett |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2005 |
Last updated | Jul 16th, 2007 - about 18 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 | 1154313203 | NPPES |
Ohio | MEDICAID | 2432924 |
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