Stuppard, Clarence A

Stuppard, Clarence A is an sole proprietor health care provider with primary practice located at 2924 Brighton St , Philadelphia PA 19149-1922. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Home Health. Agencies / Home Health is his primary health care specialty. Stuppard, Clarence A can be contacted via phone (215) 624-1321.

Contact Information

Primary practice address
2924 Brighton St Philadelphia PA 19149-1922
Phone: (215) 624-1321
Fax: (215) 624-1034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 16713601 Pennsylvania
Agencies / Home Health 251E00000X 16713601 Pennsylvania

Profile Details

NPI number 1508175092
LBN Legal business name Stuppard, Clarence A
Credentials ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2010
Last updated Sep 30th, 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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