Clark, Ansenio

Clark, Ansenio is an sole proprietor health care provider with primary practice located at 1565 E Trinity Blvd , Montgomery AL 36106-2897. He recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as his primary health care specialty. Clark, Ansenio can be contacted via phone (334) 440-4538.

Contact Information

Primary practice address
1565 E Trinity Blvd Montgomery AL 36106-2897
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1699517821
LBN Legal business name Clark, Ansenio
Credentials MLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2024
Last updated Jun 10th, 2024 - about 6 months 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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