Clark, Mary Jo

Clark, Mary Jo is an sole proprietor health care provider with primary practice located at 2691 Highway 62 412 , Highland AR 72542-9479. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Mary Jo can be contacted via phone (870) 856-3283.

Contact Information

Primary practice address
2691 Highway 62 412 Highland AR 72542-9479
Phone: (870) 856-3283
Fax: (870) 856-2663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 211 Arkansas

Profile Details

NPI number 1730460098
LBN Legal business name Clark, Mary Jo
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2011
Last updated Aug 31st, 2011 - about 14 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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