Clark, Kirsten
Clark, Kirsten is an individual health care provider with primary practice located at 20031 Carlysle St Suite 3, Dearborn MI 48124-3803. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Kirsten can be contacted via phone (313) 277-9170.Contact Information
Primary practice address
20031 Carlysle St Suite 3
Dearborn MI 48124-3803
Phone: (313) 277-9170
Fax: (313) 277-9176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 5501004619 | Michigan |
Profile Details
| NPI number | 1821159690 |
|---|---|
| LBN Legal business name | Clark, Kirsten |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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