Clark, Larin Timothy

Clark, Larin Timothy is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Clark, Larin Timothy can be contacted via phone (707) 423-3727.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-3727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1245792332
LBN Legal business name Clark, Larin Timothy
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2019
Last updated Apr 5th, 2019 - about 5 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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