Clark, Debra Ann
Clark, Debra Ann is an individual health care provider with primary practice located at 2044 Madison Ave Suite G7, Granite City IL 62040-4641. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Clark, Debra Ann can be contacted via phone (618) 451-6685.Contact Information
Primary practice address
2044 Madison Ave Suite G7
Granite City IL 62040-4641
Phone: (618) 451-6685
Fax: (618) 451-7292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | Illinois |
Profile Details
| NPI number | 1508079328 |
|---|---|
| LBN Legal business name | Clark, Debra Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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