Clark, Shayna

Clark, Shayna is an individual health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Psychiatric Technician. Nursing Service Providers / Licensed Psychiatric Technician is her primary health care specialty. Clark, Shayna can be contacted via phone (707) 268-2900.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT36132 California

Profile Details

NPI number 1649559352
LBN Legal business name Clark, Shayna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Nov 30th, 2011 - about 15 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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