Clark, Cheryll Anne

Clark, Cheryll Anne is an sole proprietor health care provider with primary practice located at 2660 W Covell Blvd Ste B , Davis CA 95616-5645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Cheryll Anne can be contacted via phone (530) 747-3000.

Contact Information

Primary practice address
2660 W Covell Blvd Ste B Davis CA 95616-5645
Phone: (530) 747-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 146218 California

Profile Details

NPI number 1932306875
LBN Legal business name Clark, Cheryll Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Nov 22nd, 2017 - 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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