Clark, Christopher Marvin

Clark, Christopher Marvin is an sole proprietor health care provider with primary practice located at 700 Pelham Rd N , Jacksonville AL 36265-1602. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Christopher Marvin can be contacted via phone (256) 782-5514.

Contact Information

Primary practice address
700 Pelham Rd N Jacksonville AL 36265-1602
Phone: (256) 782-5514
Fax: (256) 782-5546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 857 Alabama

Profile Details

NPI number 1487297065
LBN Legal business name Clark, Christopher Marvin
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2019
Last updated Oct 25th, 2019 - 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.

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