Clark, Cindee

Clark, Cindee is an individual health care provider with primary practice located at 485 Yampa Ave , Craig CO 81625-2609. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Cindee can be contacted via phone (970) 824-8000.

Contact Information

Primary practice address
485 Yampa Ave Craig CO 81625-2609
Fax: (970) 824-1179
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2434 Colorado

Profile Details

NPI number 1255716312
LBN Legal business name Clark, Cindee
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2015
Last updated Jul 29th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255716312 NPPES
Colorado MEDICAID 35
Colorado MEDICAID E21
Colorado MEDICAID 23
Colorado MEDICAID E18
Colorado MEDICAID 24
Colorado MEDICAID 41
Colorado MEDICAID E17
Colorado MEDICAID E19
Colorado MEDICAID E20

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