Clark, Anthony Jamal

Clark, Anthony Jamal is an individual health care provider with primary practice located at 2301 Montgomery Dr W , Wilson NC 27893-4476. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is his primary health care specialty. Clark, Anthony Jamal can be contacted via phone (252) 360-9338.

Contact Information

Primary practice address
2301 Montgomery Dr W Wilson NC 27893-4476
Phone: (252) 360-9338
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1174026298
LBN Legal business name Clark, Anthony Jamal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2018
Last updated Mar 15th, 2018 - about 8 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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