Clark, Shonta

Clark, Shonta is an sole proprietor health care provider with primary practice located at 325 Rose Ln , Saint Louis MO 63122-5911. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Clark, Shonta can be contacted via phone (314) 686-8444.

Contact Information

Primary practice address
325 Rose Ln Saint Louis MO 63122-5911
Phone: (314) 686-8444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1326400888
LBN Legal business name Clark, Shonta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2016
Last updated Mar 24th, 2016 - about 10 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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