Clark, Sheila Lynn

Clark, Sheila Lynn is an sole proprietor health care provider with primary practice located at 141 N Burke St , Prichard WV 25555-4011. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Clark, Sheila Lynn can be contacted via phone (740) 479-1968.

Contact Information

Primary practice address
141 N Burke St Prichard WV 25555-4011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1225620610
LBN Legal business name Clark, Sheila Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2021
Last updated Feb 7th, 2021 - about 5 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 1225620610 NPPES
Ohio MEDICAID 0000128

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