Clark, Loretta A

Clark, Loretta A is an sole proprietor health care provider with primary practice located at 216 W Pacific Ave Suite 205, Spokane WA 99201-3661. She recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as her primary health care specialty. Clark, Loretta A can be contacted via phone (509) 413-7070.

Contact Information

Primary practice address
216 W Pacific Ave Suite 205 Spokane WA 99201-3661
Phone: (509) 413-7070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MA60097219 Washington

Profile Details

NPI number 1720377278
LBN Legal business name Clark, Loretta A
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2011
Last updated Nov 10th, 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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