Clark, Joshua Wayne

Clark, Joshua Wayne is an sole proprietor health care provider with primary practice located at 4037 Ste A 214 , Phelan CA 92371. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Clark, Joshua Wayne can be contacted via phone (760) 964-0153.

Contact Information

Primary practice address
4037 Ste A 214 Phelan CA 92371
Phone: (760) 964-0153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1053197517
LBN Legal business name Clark, Joshua Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2023
Last updated Aug 31st, 2023 - about last year

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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