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Contact Information

JEREMY J CLARK
1900 S MAIN ST
FINDLAY, OH45840
 Phone: 419-423-4500
 Fax: 419-423-5358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JEREMY J CLARK · (Male)

NPI # 1912498338
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2018
Last updated 05/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.022794
Hospital affiliation(s)
  • BLANCHARD VALLEY HOSPITAL - (Acute Care)
    1900 SOUTH MAIN STREET
    FINDLAY, OH 45840
  • BLUFFTON HOSPITAL - (Critical Access)
    139 GARAU STREET
    BLUFFTON, OH 45817
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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