Clark, Amy Marie
Clark, Amy Marie is an sole proprietor health care provider with primary practice located at 260 Barnes Rd , Suffolk VA 23437. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Clark, Amy Marie can be contacted via phone (757) 652-1981.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1558707984 |
|---|---|
| LBN Legal business name | Clark, Amy Marie |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2013 |
| Last updated | May 13th, 2013 - about 11 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 | 1558707984 | NPPES |
| Other | 1710-1002X | IDC |
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