Clark, Albert Wayne

Clark, Albert Wayne is an individual health care provider with primary practice located at 4343 Main St , Springfield OR 97478-7647. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Clark, Albert Wayne can be contacted via phone (541) 200-7037.

Contact Information

Primary practice address
4343 Main St Springfield OR 97478-7647
Phone: (541) 200-7037
Fax: (541) 334-6119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Oregon

Profile Details

NPI number 1588150965
LBN Legal business name Clark, Albert Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2018
Last updated Jul 9th, 2018 - about 8 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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