Clark, Ebonye Patrice
Clark, Ebonye Patrice is an sole proprietor health care provider with primary practice located at 1704 Center Dr Apt 2 , Midwest City OK 73110-2869. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Ebonye Patrice can be contacted via phone (405) 679-7979.Contact Information
Primary practice address
1704 Center Dr Apt 2
Midwest City OK 73110-2869
Phone: (405) 679-7979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1962998062 |
|---|---|
| LBN Legal business name | Clark, Ebonye Patrice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2018 |
| Last updated | Jul 2nd, 2018 - about 7 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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