Clark, Monique R
Clark, Monique R is an sole proprietor health care provider with primary practice located at 20755 Greenfield Rd Suite 100, Southfield MI 48075-5403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Monique R can be contacted via phone (248) 557-0507.Contact Information
Primary practice address
20755 Greenfield Rd Suite 100
Southfield MI 48075-5403
Phone: (248) 557-0507
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704262087 | Michigan |
Profile Details
| NPI number | 1487198255 |
|---|---|
| LBN Legal business name | Clark, Monique R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Dec 13th, 2016 - about 10 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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