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:
Health care specialties
| Specialty | Code | License # | 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 10 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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