Clark, Derwin

Clark, Derwin is an sole proprietor health care provider with primary practice located at 20400 Colonel Glenn Rd , Little Rock AR 72210-5323. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Clark, Derwin can be contacted via phone (501) 821-5500.

Contact Information

Primary practice address
20400 Colonel Glenn Rd Little Rock AR 72210-5323
Phone: (501) 821-5500
Fax: (501) 821-5580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1508231085
LBN Legal business name Clark, Derwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2015
Last updated Dec 9th, 2015 - about 9 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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