Clark, Billy Roy
Clark, Billy Roy is an sole proprietor health care provider with primary practice located at 117 W Broadway St Ste 301 , Ardmore OK 73401-6226. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Billy Roy can be contacted via phone (580) 465-2194.Contact Information
Primary practice address
117 W Broadway St Ste 301
Ardmore OK 73401-6226
Phone: (580) 465-2194
Fax: (580) 490-3371
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 224 | Oklahoma |
Profile Details
| NPI number | 1417244278 |
|---|---|
| LBN Legal business name | Clark, Billy Roy |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Jun 30th, 2011 - about 15 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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