Clark, Mackenzie

Clark, Mackenzie is an individual health care provider with primary practice located at 2111 S 7Th St , Ironton OH 45638-2538. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Clark, Mackenzie can be contacted via phone (740) 646-6640.

Contact Information

Primary practice address
2111 S 7Th St Ironton OH 45638-2538
Phone: (740) 646-6640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 512073 Ohio

Profile Details

NPI number 1063148575
LBN Legal business name Clark, Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jul 27th, 2022 - about 2 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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