Clark, Dale
Clark, Dale is an sole proprietor health care provider with primary practice located at 3411 S Camino Seco Unit 231 , Tucson AZ 85730-2815. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Clark, Dale can be contacted via phone (520) 907-4370.Contact Information
Primary practice address
3411 S Camino Seco Unit 231
Tucson AZ 85730-2815
Phone: (520) 907-4370
Fax: (520) 721-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT-03646P | Arizona |
Profile Details
| NPI number | 1720400153 |
|---|---|
| LBN Legal business name | Clark, Dale |
| Credentials | LMT, NCBTMB |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2014 |
| Last updated | Jan 21st, 2014 - about 12 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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