Clark, Callie Ann

Clark, Callie Ann is an individual health care provider with primary practice located at 524 4Th Ave Ne Unit 19 , Devils Lake ND 58301-2400. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Callie Ann can be contacted via phone (701) 662-7050.

Contact Information

Primary practice address
524 4Th Ave Ne Unit 19 Devils Lake ND 58301-2400
Fax: (701) 662-3360
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota

Profile Details

NPI number 1104307149
LBN Legal business name Clark, Callie Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2018
Last updated Aug 28th, 2018 - about 7 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.

Request for update

Popular Providers