Clark, Roy Ellis
Clark, Roy Ellis is an sole proprietor health care provider with primary practice located at 2345 Northpark Dr , Columbus IN 47203-4473. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Clark, Roy Ellis can be contacted via phone (812) 669-1490.Contact Information
Primary practice address
2345 Northpark Dr
Columbus IN 47203-4473
Phone: (812) 669-1490
Fax: (812) 669-1491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 23002042 | Indiana |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002042 | Indiana |
Profile Details
| NPI number | 1285808188 |
|---|---|
| LBN Legal business name | Clark, Roy Ellis |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | May 15th, 2025 - about last year |
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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