Clark, Nicole

Clark, Nicole is an sole proprietor health care provider with primary practice located at 100 N Burke Ave , Long Beach MS 39560-4605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Clark, Nicole can be contacted via phone (228) 234-1658.

Contact Information

Primary practice address
100 N Burke Ave Long Beach MS 39560-4605
Phone: (228) 234-1658
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1386106375
LBN Legal business name Clark, Nicole
Credentials HAIR LOSS SPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2019
Last updated Apr 1st, 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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