Clark, Martha Elaine
Clark, Martha Elaine is an sole proprietor health care provider with primary practice located at 1473 Ring Rd , Calumet City IL 60409-5459. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Martha Elaine can be contacted via phone (708) 862-8156.Contact Information
Primary practice address
1473 Ring Rd
Calumet City IL 60409-5459
Phone: (708) 862-8156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 178012803 | Illinois |
Profile Details
| NPI number | 1750881611 |
|---|---|
| LBN Legal business name | Clark, Martha Elaine |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2018 |
| Last updated | Oct 5th, 2023 - 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.
Popular Providers
-
Benrubi, Rachel Abner
50 Northgate Industrial Dr , Granite City IL 62040-6805 -
Wood, Bobby J
50 Northgate Industrial Dr , Granite City IL 62040-6805 -
Harris, Hilary R
108 157Th St , Calumet City IL 60409-4804 -
Finn, Bonnie
4118 Greenleaf Ct 202, Park City IL 60085-8509 -
Stone, Tracy
295 W Division St , Coal City IL 60416-1581 -
Willis, Sonya Delaine
1473 Ring Rd , Calumet City IL 60409-5459 -
Walters, Yolanda
4118 Greenleaf Ct , Park City IL 60085-8509 -
Klawonn, Terri Lou
50 Northgate Industrial Dr , Granite City IL 62040-6805