Individual provider · Type 1 NPI

Jackie Elaine Clouse

Contractor · Burton, OH

NPI number 1114146750 Active

Practice location

13231 Butternut Rd
Burton, OH 44021-9567

Mailing address

10005 Knowlton Rd
Garrettsville, OH 44231-9793

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1114146750

Jackie Elaine Clouse's National Provider Identifier is 1114146750, issued on Apr 24, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Burton, OH. The record was last updated on Jul 8, 2007.