Clark, Madison Rae

Clark, Madison Rae is an sole proprietor health care provider with primary practice located at 15413 E 3Rd Ter S , Independence MO 64050-2289. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Clark, Madison Rae can be contacted via phone (816) 585-5717.

Contact Information

Primary practice address
15413 E 3Rd Ter S Independence MO 64050-2289
Phone: (816) 585-5717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1821531492
LBN Legal business name Clark, Madison Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2016
Last updated Dec 1st, 2016 - about 9 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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