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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487284980 NPPES
California Other 3911361 RN

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