Clark, Brian Thomas
Clark, Brian Thomas is an individual health care provider with primary practice located at 3972 Shady Oaks Dr , Virginia Beach VA 23455-1628. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Clark, Brian Thomas can be contacted via phone (757) 630-7081.Contact Information
Primary practice address
3972 Shady Oaks Dr
Virginia Beach VA 23455-1628
Phone: (757) 630-7081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1093744427 |
|---|---|
| LBN Legal business name | Clark, Brian Thomas |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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