Clark, Lonnie
Clark, Lonnie is an sole proprietor health care provider with primary practice located at 695 Mistletoe Rd Ste H , Ashland OR 97520-9552. 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, Lonnie can be contacted via phone (541) 482-8906.Contact Information
Primary practice address
695 Mistletoe Rd Ste H
Ashland OR 97520-9552
Phone: (541) 482-8906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13-12-10 | Oregon |
Profile Details
| NPI number | 1134543226 |
|---|---|
| LBN Legal business name | Clark, Lonnie |
| Credentials | CADC I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2014 |
| Last updated | Feb 10th, 2014 - about 11 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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