Clark, Edward

Clark, Edward is an individual health care provider with primary practice located at 6600 E Ben White Blvd , Austin TX 78741-7537. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is his primary health care specialty. Clark, Edward can be contacted via phone (512) 804-3740.

Contact Information

Primary practice address
6600 E Ben White Blvd Austin TX 78741-7537
Phone: (512) 804-3740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200930549LPN Oregon
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 331536 Texas

Profile Details

NPI number 1033638424
LBN Legal business name Clark, Edward
Credentials LVN, LPN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2017
Last updated Sep 17th, 2017 - 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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