Clark, Maurice Allan

Clark, Maurice Allan is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Village Suite F3, Tupelo MS 38801-4631. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Clark, Maurice Allan can be contacted via phone (662) 350-3676.

Contact Information

Primary practice address
499 Gloster Creek Village Suite F3 Tupelo MS 38801-4631
Phone: (662) 350-3676
Fax: (662) 269-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 730 Mississippi
Eye and Vision Services Providers / Optometrist 152W00000X 2577 Tennessee

Profile Details

NPI number 1770543092
LBN Legal business name Clark, Maurice Allan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 31st, 2016 - about 8 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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