Clark, Shanell
Clark, Shanell is an sole proprietor health care provider with primary practice located at 21820 Beverly St , Oak Park MI 48237-2503. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Nursing Home Administrator. Nursing Service Related Providers / Nursing Home Administrator is her primary health care specialty. Clark, Shanell can be contacted via phone (248) 234-6150.Contact Information
Primary practice address
21820 Beverly St
Oak Park MI 48237-2503
Phone: (248) 234-6150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X | ||
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
| Nursing Service Related Providers / Nursing Home Administrator | 376G00000X |
Profile Details
| NPI number | 1972958106 |
|---|---|
| LBN Legal business name | Clark, Shanell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Apr 25th, 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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