Clark, Cheryl
Clark, Cheryl is an individual health care provider with primary practice located at 1604 Visa Dr Ste 1 , Normal IL 61761-2195. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Clark, Cheryl can be contacted via phone (309) 846-4714.Contact Information
Primary practice address
1604 Visa Dr Ste 1
Normal IL 61761-2195
Phone: (309) 846-4714
Fax: (309) 454-1107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 041125182 | Illinois |
Profile Details
| NPI number | 1558509919 |
|---|---|
| LBN Legal business name | Clark, Cheryl |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2009 |
| Last updated | Jan 23rd, 2009 - about 15 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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