Clark, Delane F

Clark, Delane F is an individual health care provider with primary practice located at 328 Whippoorwill Ln , Mt Holly NC 28120-9765. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clark, Delane F can be contacted via phone (704) 827-3788.

Contact Information

Primary practice address
328 Whippoorwill Ln Mt Holly NC 28120-9765
Phone: (704) 827-3788
Fax: (704) 827-3799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2756 North Carolina

Profile Details

NPI number 1740290303
LBN Legal business name Clark, Delane F
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Apr 10th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740290303 NPPES
North Carolina MEDICAID 7212080

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