Clark, Michael Dwayne
Clark, Michael Dwayne is an sole proprietor health care provider with primary practice located at 619 Clarence St Apt 5 , Lake Charles LA 70601-5370. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clark, Michael Dwayne can be contacted via phone (337) 721-8070.Contact Information
Primary practice address
619 Clarence St Apt 5
Lake Charles LA 70601-5370
Phone: (337) 721-8070
Fax: (337) 721-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | Louisiana |
Profile Details
| NPI number | 1063683597 |
|---|---|
| LBN Legal business name | Clark, Michael Dwayne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Mar 12th, 2008 - about 18 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.
Popular Providers
-
Auteri, Joseph S.
311 N Clyde Morris Blvd , Daytona Beach FL 32114-2781 -
Sharpe, James
697 Pro-Med Ln , Carmel IN 46032-5323 -
Simmons, Shameka Shantl
3267 Snowy Egret Dr , Lake Charles LA 70615-5364 -
Dave, Archana A
1091 Whittington Ct , Gurnee IL 60031-4023 -
De La Rosa, Juan Angel
Urb. Camino Del Sol 420 Camino Real, Vega Baja PR 00693-4177 -
Shankle, Carla
330 Alamo St Ste 7 , Lake Charles LA 70601-8584 -
Leachman, Kevin
697 Pro-Med Ln , Carmel IN 46032-5323 -
Myles, Jeremie J
4417 Gordon Woods Dr , Lake Charles LA 70615-2996