Clark, Madeline

Clark, Madeline is an sole proprietor health care provider with primary practice located at 1950 E 17Th St Ste 150 , Santa Ana CA 92705-6852. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Clark, Madeline can be contacted via phone (714) 547-5375.

Contact Information

Primary practice address
1950 E 17Th St Ste 150 Santa Ana CA 92705-6852
Phone: (714) 547-5375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 686532 California

Profile Details

NPI number 1881296465
LBN Legal business name Clark, Madeline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2020
Last updated Nov 10th, 2020 - about 4 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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