Clark, Antonio

Clark, Antonio is an sole proprietor health care provider with primary practice located at 6725 S Eastern Ave , Las Vegas NV 89119-3948. He recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Clark, Antonio can be contacted via phone (702) 646-2722.

Contact Information

Primary practice address
6725 S Eastern Ave Las Vegas NV 89119-3948
Phone: (702) 646-2722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1114583416
LBN Legal business name Clark, Antonio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2019
Last updated May 13th, 2019 - about 5 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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