Clark, Donald Eugene

Clark, Donald Eugene is an sole proprietor health care provider with primary practice located at 5117 Tarrywood Ln , Charlotte NC 28205-4827. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Clark, Donald Eugene can be contacted via phone (704) 200-1028.

Contact Information

Primary practice address
5117 Tarrywood Ln Charlotte NC 28205-4827
Phone: (704) 200-1028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1124282538
LBN Legal business name Clark, Donald Eugene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 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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