Clark, Juanita

Clark, Juanita is an individual health care provider with primary practice located at 227 E Sanilac Rd , Sandusky MI 48471-1160. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Clark, Juanita can be contacted via phone (810) 583-0432.

Contact Information

Primary practice address
227 E Sanilac Rd Sandusky MI 48471-1160
Phone: (810) 583-0432
Fax: (810) 648-5107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1306247762
LBN Legal business name Clark, Juanita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Sep 4th, 2014 - about 11 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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