Clark, Marshall Andre
Clark, Marshall Andre is an sole proprietor health care provider with primary practice located at 4501 Sand Creek Rd , Antioch CA 94531-8687. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care, which is considered as his primary health care specialty. Clark, Marshall Andre can be contacted via phone (925) 813-6716.Contact Information
Primary practice address
4501 Sand Creek Rd
Antioch CA 94531-8687
Phone: (925) 813-6716
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Critical Care | 2278C0205X | 17366 | California |
Profile Details
| NPI number | 1508330747 |
|---|---|
| LBN Legal business name | Clark, Marshall Andre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2019 |
| Last updated | Jan 21st, 2019 - about 7 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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