Clark, Charlotte A.

Clark, Charlotte A. is an individual health care provider with primary practice located at 700 Se Cross St , Mount Sterling IL 62353-1561. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Clark, Charlotte A. can be contacted via phone (217) 773-3325.

Contact Information

Primary practice address
700 Se Cross St Mount Sterling IL 62353-1561
Phone: (217) 773-3325
Fax: (217) 773-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.070144 Illinois

Profile Details

NPI number 1316298797
LBN Legal business name Clark, Charlotte A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2012
Last updated Sep 26th, 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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