Clark, Alia Kehaulani
Clark, Alia Kehaulani is an individual health care provider with primary practice located at 2810 S Halcyon Rd , Arroyo Grande CA 93420-5529. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Clark, Alia Kehaulani can be contacted via phone (805) 904-0281.Contact Information
Primary practice address
2810 S Halcyon Rd
Arroyo Grande CA 93420-5529
Phone: (805) 904-0281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 533 | California |
Profile Details
| NPI number | 1295222792 |
|---|---|
| LBN Legal business name | Clark, Alia Kehaulani |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Jun 16th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295222792 | NPPES |
| California | Other | 533 | LICENSED MIDWIFE |
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