Clark, Dessie
Clark, Dessie is an sole proprietor health care provider with primary practice located at 261 Private Ln , Nashville NC 27856-8114. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Clark, Dessie can be contacted via phone (252) 937-2284.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6893 | North Carolina |
Profile Details
| NPI number | 1003211053 |
|---|---|
| LBN Legal business name | Clark, Dessie |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2014 |
| Last updated | Oct 31st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003211053 | NPPES |
| North Carolina | Other | 11021979 | MEDICARE |
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