Clark, Halie

Clark, Halie is an individual health care provider with primary practice located at 201 W Madison St , Mangum OK 73554-1811. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Clark, Halie can be contacted via phone (580) 782-2703.

Contact Information

Primary practice address
201 W Madison St Mangum OK 73554-1811
Phone: (580) 782-2703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1770047177
LBN Legal business name Clark, Halie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2019
Last updated Jan 30th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770047177 NPPES
Oklahoma Other 736021103 PERSONAL CARE

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