Clark, Stephanie Diane

Clark, Stephanie Diane is an sole proprietor health care provider with primary practice located at 4613 Se 41St St , Del City OK 73115-3703. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Stephanie Diane can be contacted via phone (405) 635-7856.

Contact Information

Primary practice address
4613 Se 41St St Del City OK 73115-3703
Fax: (405) 602-0802
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1760816326
LBN Legal business name Clark, Stephanie Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2013
Last updated Aug 30th, 2013 - about 13 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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