Clark, Colby

Clark, Colby is an individual health care provider with primary practice located at 4103 S Yale Ave Ste B , Tulsa OK 74135-6002. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clark, Colby can be contacted via phone (918) 382-7300.

Contact Information

Primary practice address
4103 S Yale Ave Ste B Tulsa OK 74135-6002
Fax: (918) 382-7302
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1194451575
LBN Legal business name Clark, Colby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - 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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