Clark, Amelia Jo

Clark, Amelia Jo is an individual health care provider with primary practice located at 1729 Nw 3Rd St , Oklahoma City OK 73106-2810. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Amelia Jo can be contacted via phone (405) 246-0828.

Contact Information

Primary practice address
1729 Nw 3Rd St Oklahoma City OK 73106-2810
Fax: (405) 246-0828
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1669129573
LBN Legal business name Clark, Amelia Jo
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2022
Last updated Jan 4th, 2024 - about last year

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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