Clark, Chandra H.

Clark, Chandra H. is an sole proprietor health care provider with primary practice located at 11106 Hawkes Lane , Blackstone VA 23824. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Clark, Chandra H. can be contacted via phone (757) 327-1817.

Contact Information

Primary practice address
11106 Hawkes Lane Blackstone VA 23824
Phone: (757) 327-1817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 0001157171 Virginia

Profile Details

NPI number 1649868217
LBN Legal business name Clark, Chandra H.
Credentials RN, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2021
Last updated Jan 8th, 2021 - about 3 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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