Clark, Eric Vinceson

Clark, Eric Vinceson is an sole proprietor health care provider with primary practice located at 404 Hearne Ave , Shreveport LA 71103-2022. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is his primary health care specialty. Clark, Eric Vinceson can be contacted via phone (318) 716-1369.

Contact Information

Primary practice address
404 Hearne Ave Shreveport LA 71103-2022
Phone: (318) 716-1369
Fax: (318) 675-0120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1588194583
LBN Legal business name Clark, Eric Vinceson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2017
Last updated Jun 26th, 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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