Clark, Blanche W

Clark, Blanche W is an individual health care provider with primary practice located at 601 Cumberland St , Chattanooga TN 37404-1922. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Blanche W can be contacted via phone (423) 266-6751.

Contact Information

Primary practice address
601 Cumberland St Chattanooga TN 37404-1922
Phone: (423) 266-6751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1376287235
LBN Legal business name Clark, Blanche W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated Apr 26th, 2022 - about 4 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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