Clark, Derwin

Clark, Derwin is an sole proprietor health care provider with primary practice located at 1301 Ridgway Rd Ste 1C , Pine Bluff AR 71603-7610. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Derwin can be contacted via phone (870) 395-7341.

Contact Information

Primary practice address
1301 Ridgway Rd Ste 1C Pine Bluff AR 71603-7610
Phone: (870) 395-7341
Fax: (870) 395-7377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1354 Arkansas

Profile Details

NPI number 1508231085
LBN Legal business name Clark, Derwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2015
Last updated Jul 16th, 2026 - about 3 months 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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