Clark, Madison

Clark, Madison is an sole proprietor health care provider with primary practice located at 1299 Farnam St , Omaha NE 68102-1880. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Madison can be contacted via phone (732) 806-0091.

Contact Information

Primary practice address
1299 Farnam St Omaha NE 68102-1880
Phone: (732) 806-0091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1053913236
LBN Legal business name Clark, Madison
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2020
Last updated Nov 12th, 2020 - 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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