Clark, Cory Michael
Clark, Cory Michael is an sole proprietor health care provider with primary practice located at 12701 N Main St , El Mirage AZ 85335-2600. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as his primary health care specialty. Clark, Cory Michael can be contacted via phone (623) 217-8544.Contact Information
Primary practice address
12701 N Main St
El Mirage AZ 85335-2600
Phone: (623) 217-8544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | SLPA11879 | Arizona |
Profile Details
| NPI number | 1669021234 |
|---|---|
| LBN Legal business name | Clark, Cory Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2019 |
| Last updated | Sep 6th, 2019 - about 6 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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