Clark, Devan
Clark, Devan is an individual health care provider with primary practice located at 3540 N Snow Goose Dr , Wasilla AK 99654-2505. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Devan can be contacted via phone (419) 961-3818.Contact Information
Primary practice address
3540 N Snow Goose Dr
Wasilla AK 99654-2505
Phone: (419) 961-3818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 107485 | Alaska |
| Other Service Providers / Specialist | 174400000X | MT-21190 | Arizona |
Profile Details
| NPI number | 1497202279 |
|---|---|
| LBN Legal business name | Clark, Devan |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2016 |
| Last updated | Sep 8th, 2016 - 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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