Stillahn, Clark
Stillahn, Clark is an sole proprietor health care provider with primary practice located at 533 S Lincoln Ave , York NE 68467-4211. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stillahn, Clark can be contacted via phone (402) 362-1280.Contact Information
Primary practice address
533 S Lincoln Ave
York NE 68467-4211
Phone: (402) 362-1280
Fax: (402) 362-1355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 10736 | Nebraska |
Profile Details
| NPI number | 1962764993 |
|---|---|
| LBN Legal business name | Stillahn, Clark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2012 |
| Last updated | Jun 14th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962764993 | NPPES |
| Nebraska | Other | 10736 | NEBRASKA STATE LICENSE 10736 |
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