Clark, Shelly A

Clark, Shelly A is an sole proprietor health care provider with primary practice located at 744 W Brandon Blvd , Brandon FL 33511-4902. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Clark, Shelly A can be contacted via phone (813) 390-4684.

Contact Information

Primary practice address
744 W Brandon Blvd Brandon FL 33511-4902
Phone: (813) 390-4684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1942818646
LBN Legal business name Clark, Shelly A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2020
Last updated Jul 19th, 2020 - about 6 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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