Clark, Joe Boaz

Clark, Joe Boaz is an individual health care provider with primary practice located at 640 E Main St , Sun Prairie WI 53590-9696. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Clark, Joe Boaz can be contacted via phone (608) 837-3821.

Contact Information

Primary practice address
640 E Main St Sun Prairie WI 53590-9696
Phone: (608) 837-3821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 17466-40 Wisconsin

Profile Details

NPI number 1669139309
LBN Legal business name Clark, Joe Boaz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 2021 - about 3 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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