Clark, Shaniece Nichelle
Clark, Shaniece Nichelle is an individual health care provider with primary practice located at 6723 Towpath Rd , East Syracuse NY 13057-9506. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Shaniece Nichelle can be contacted via phone (315) 937-8910.Contact Information
Primary practice address
6723 Towpath Rd
East Syracuse NY 13057-9506
Phone: (315) 937-8910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1992452791 |
|---|---|
| LBN Legal business name | Clark, Shaniece Nichelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2022 |
| Last updated | Mar 2nd, 2022 - about 4 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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