Clark, Brayden Claye

Clark, Brayden Claye is an individual health care provider with primary practice located at 11143 Parkview Plaza Dr Ste 100 , Fort Wayne IN 46845-1728. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Clark, Brayden Claye can be contacted via phone (260) 266-7400.

Contact Information

Primary practice address
11143 Parkview Plaza Dr Ste 100 Fort Wayne IN 46845-1728
Fax: (260) 266-7439
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 05015560A Indiana

Profile Details

NPI number 1316787823
LBN Legal business name Clark, Brayden Claye
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2024
Last updated Jun 4th, 2024 - about 3 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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