Clark, Christopher

Clark, Christopher is an individual health care provider with primary practice located at 613 Marquette Rd , Brandon MS 39042-3038. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Clark, Christopher can be contacted via phone (601) 825-8800.

Contact Information

Primary practice address
613 Marquette Rd Brandon MS 39042-3038
Phone: (601) 825-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1306415666
LBN Legal business name Clark, Christopher
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2021
Last updated Jun 22nd, 2021 - about 4 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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