Worthington, John Clarendon
Worthington, John Clarendon is an individual health care provider with primary practice located at 516 Cypress St , Fort Bragg CA 95437-5410. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Worthington, John Clarendon can be contacted via phone (707) 472-0350.Contact Information
Primary practice address
516 Cypress St
Fort Bragg CA 95437-5410
Phone: (707) 472-0350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 391361 | California |
Profile Details
| NPI number | 1487284980 |
|---|---|
| LBN Legal business name | Worthington, John Clarendon |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2020 |
| Last updated | Jul 1st, 2024 - about 2 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 | 1487284980 | NPPES |
| California | Other | 3911361 | RN |
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