Clark, Benjamin

Clark, Benjamin is an individual health care provider with primary practice located at 4501 Main St Ste 5 , Shallotte NC 28470-4585. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Clark, Benjamin can be contacted via phone (910) 755-5863.

Contact Information

Primary practice address
4501 Main St Ste 5 Shallotte NC 28470-4585
Phone: (910) 755-5863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 16530 North Carolina

Profile Details

NPI number 1285189704
LBN Legal business name Clark, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Aug 25th, 2016 - about 9 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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