Anderson, Clark

Anderson, Clark is an individual health care provider with primary practice located at 19010 Avers Ave , Flossmoor IL 60422-1017. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Anderson, Clark can be contacted via phone (708) 574-0728.

Contact Information

Primary practice address
19010 Avers Ave Flossmoor IL 60422-1017
Phone: (708) 574-0728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X Illinois

Profile Details

NPI number 1447783063
LBN Legal business name Anderson, Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2017
Last updated Apr 10th, 2017 - about 7 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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