Clark, Charles

Clark, Charles is an individual health care provider with primary practice located at 368 Fourth St , Crossville TN 38555-4309. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Clark, Charles can be contacted via phone (423) 622-1551.

Contact Information

Primary practice address
368 Fourth St Crossville TN 38555-4309
Phone: (423) 622-1551
Fax: (423) 622-1556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1522 Tennessee

Profile Details

NPI number 1629312400
LBN Legal business name Clark, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 13 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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