Clark, Theresa Carlisle

Clark, Theresa Carlisle is an sole proprietor health care provider with primary practice located at 1900 Carriage Dr , Phenix City AL 36867-2116. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Clark, Theresa Carlisle can be contacted via phone (706) 289-9327.

Contact Information

Primary practice address
1900 Carriage Dr Phenix City AL 36867-2116
Phone: (706) 289-9327
Fax: (888) 547-2536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 166504 Georgia

Profile Details

NPI number 1003056383
LBN Legal business name Clark, Theresa Carlisle
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2009
Last updated Feb 26th, 2009 - about 17 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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