Clark, Sheila Green

Clark, Sheila Green is an sole proprietor health care provider with primary practice located at 1028 Atkinson St , Laurinburg NC 28352-4721. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, which is considered as her primary health care specialty. Clark, Sheila Green can be contacted via phone (910) 276-6061.

Contact Information

Primary practice address
1028 Atkinson St Laurinburg NC 28352-4721
Phone: (910) 276-6061
Fax: (910) 276-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X CFM02819 North Carolina

Profile Details

NPI number 1407271307
LBN Legal business name Clark, Sheila Green
Credentials CFM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2014
Last updated Feb 28th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407271307 NPPES
North Carolina MEDICAID 1336245166

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