Clark, Alisha Victoria
Clark, Alisha Victoria is an individual health care provider with primary practice located at 2507 Old Saint Augustine Rd , Tallahassee FL 32301-6209. She recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as her primary health care specialty. Clark, Alisha Victoria can be contacted via phone (866) 466-2475.Contact Information
Primary practice address
2507 Old Saint Augustine Rd
Tallahassee FL 32301-6209
Phone: (866) 466-2475
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Independent Duty Medical Technicians | 1710I1003X | E2027750 | Texas |
Profile Details
NPI number | 1205502655 |
---|---|
LBN Legal business name | Clark, Alisha Victoria |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2021 |
Last updated | Aug 17th, 2021 - about 3 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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