Bennett, Clark Allan

Bennett, Clark Allan is an sole proprietor health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Bennett, Clark Allan can be contacted via phone (707) 268-2990.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 130599-30 Wisconsin
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 4720618 California

Profile Details

NPI number 1154588119
LBN Legal business name Bennett, Clark Allan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated Jan 13th, 2023 - about 2 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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