Clark, Bobbie Jean

Clark, Bobbie Jean is an sole proprietor health care provider with primary practice located at 811 Park St , Thermopolis WY 82443-2239. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clark, Bobbie Jean can be contacted via phone (307) 921-1535.

Contact Information

Primary practice address
811 Park St Thermopolis WY 82443-2239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-465 Wyoming

Profile Details

NPI number 1093911786
LBN Legal business name Clark, Bobbie Jean
Credentials M.S., CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2007
Last updated May 7th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093911786 NPPES
Wyoming Other 315047 BCBS

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