Clark, Heather Elan

Clark, Heather Elan is an individual health care provider with primary practice located at 5721 Hamilton Rd , Jordan NY 13080-9760. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clark, Heather Elan can be contacted via phone (315) 689-5810.

Contact Information

Primary practice address
5721 Hamilton Rd Jordan NY 13080-9760
Phone: (315) 689-5810
Fax: (315) 689-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 661152 New York

Profile Details

NPI number 1295365815
LBN Legal business name Clark, Heather Elan
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 23rd, 2020 - about 4 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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