Clark, Cynthia

Clark, Cynthia is an sole proprietor health care provider with primary practice located at 2727 Bryant St Ste 340 , Denver CO 80211-4154. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Cynthia can be contacted via phone (303) 433-0852.

Contact Information

Primary practice address
2727 Bryant St Ste 340 Denver CO 80211-4154
Phone: (303) 433-0852
Fax: (303) 477-9223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X AA420711 Colorado

Profile Details

NPI number 1407870397
LBN Legal business name Clark, Cynthia
Credentials MS OTR BCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1407870397 NPPES
Colorado MEDICAID 89957229
Colorado MEDICAID 11622725

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