Clark, Brian

Clark, Brian is an sole proprietor health care provider with primary practice located at 9950 Bruceville Rd Apt 147 , Elk Grove CA 95757-9511. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Brian can be contacted via phone (916) 513-0964.

Contact Information

Primary practice address
9950 Bruceville Rd Apt 147 Elk Grove CA 95757-9511
Phone: (916) 513-0964
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1538618277
LBN Legal business name Clark, Brian
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2016
Last updated Sep 22nd, 2016 - about 8 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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