Clark, Erica Lynne
Clark, Erica Lynne is an individual health care provider with primary practice located at 9311 Se 36Th St Ste 208 , Mercer Island WA 98040-3741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Clark, Erica Lynne can be contacted via phone (206) 402-6339.Contact Information
Primary practice address
9311 Se 36Th St Ste 208
Mercer Island WA 98040-3741
Phone: (206) 402-6339
Fax: (206) 456-2551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00006742 | Washington |
Profile Details
| NPI number | 1407830359 |
|---|---|
| LBN Legal business name | Clark, Erica Lynne |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 26th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407830359 | NPPES |
| Washington | MEDICAID | 7046626 |
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