Joe, Allison Clark

Joe, Allison Clark is an individual health care provider with primary practice located at 4650 Hawthorne Rd Ste 3B, Chubbuck ID 83202-2376. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Joe, Allison Clark can be contacted via phone (208) 237-9833.

Contact Information

Primary practice address
4650 Hawthorne Rd Ste 3B Chubbuck ID 83202-2376
Phone: (208) 237-9833
Fax: (208) 237-1800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X SE-202663 Idaho

Profile Details

NPI number 1104174366
LBN Legal business name Joe, Allison Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2012
Last updated Aug 20th, 2012 - 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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