Spidel, Jennifer Clontz

Spidel, Jennifer Clontz is an individual health care provider with primary practice located at 1208 Skyway Dr , Monroe NC 28110-3002. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Spidel, Jennifer Clontz can be contacted via phone (704) 289-2501.

Contact Information

Primary practice address
1208 Skyway Dr Monroe NC 28110-3002
Phone: (704) 289-2501
Fax: (704) 225-1114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 20337 North Carolina

Profile Details

NPI number 1558684639
LBN Legal business name Spidel, Jennifer Clontz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Mar 3rd, 2010 - about 15 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 1558684639 NPPES
North Carolina MEDICAID 0905447

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