Clark, Anthony

Clark, Anthony is an individual health care provider with primary practice located at 2424 Rendova Rd , San Diego CA 92155-5041. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Clark, Anthony can be contacted via phone (619) 537-3941.

Contact Information

Primary practice address
2424 Rendova Rd San Diego CA 92155-5041
Phone: (619) 537-3941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1902211634
LBN Legal business name Clark, Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated Jun 24th, 2014 - about 10 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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