Clark, Mark
Clark, Mark is an sole proprietor health care provider with primary practice located at 6646 Highway 50 , Gerald MO 63037-2700. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Clark, Mark can be contacted via phone (573) 764-5707.Contact Information
Primary practice address
6646 Highway 50
Gerald MO 63037-2700
Phone: (573) 764-5707
Fax: (573) 764-5207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1710265160 |
|---|---|
| LBN Legal business name | Clark, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2011 |
| Last updated | Aug 2nd, 2011 - about 15 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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