Clark, Colie Bob

Clark, Colie Bob is an sole proprietor health care provider with primary practice located at 3101 Carriage Trl , Hillsborough NC 27278-8508. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Clark, Colie Bob can be contacted via phone (919) 880-3688.

Contact Information

Primary practice address
3101 Carriage Trl Hillsborough NC 27278-8508
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X North Carolina

Profile Details

NPI number 1740452218
LBN Legal business name Clark, Colie Bob
Credentials BS, CCP, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2008
Last updated Mar 25th, 2008 - about 17 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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