Clark, Douglas

Clark, Douglas is an individual health care provider with primary practice located at 2333 Maccorkle Ave Ste 201 , Saint Albans WV 25177-2074. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clark, Douglas can be contacted via phone (304) 766-0060.

Contact Information

Primary practice address
2333 Maccorkle Ave Ste 201 Saint Albans WV 25177-2074
Phone: (304) 766-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 23-9200 West Virginia

Profile Details

NPI number 1548039340
LBN Legal business name Clark, Douglas
Credentials PRSS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2023
Last updated Dec 28th, 2023 - about 2 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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