Individual provider · Type 1 NPI
James Thomas Clark, DME
Home Modifications Contractor · Spencer, OH
NPI number
1609389832
Active
Practice location
11460 Old Mill Rd
Spencer, OH 44275-9582
Mailing address
11460 Old Mill Road, PO Box 294
Spencer, OH 44275
Other practice locations
- PO Box 294, Spencer, OH 44275-0294 · (330) 648-1515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1609389832
James Thomas Clark, DME's National Provider Identifier is 1609389832, issued on Nov 9, 2017. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Spencer, OH. The record was last updated on Mar 17, 2018.