Clark, Timothy Patrick

Clark, Timothy Patrick is an individual health care provider with primary practice located at 242 N Villa Ave , Willows CA 95988-2641. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Clark, Timothy Patrick can be contacted via phone (530) 934-6585.

Contact Information

Primary practice address
242 N Villa Ave Willows CA 95988-2641
Phone: (530) 934-6585
Fax: (530) 934-6592
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1659750412
LBN Legal business name Clark, Timothy Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - 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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