Clark, Megan

Clark, Megan is an sole proprietor health care provider with primary practice located at 224 N East St , Lebanon IN 46052-2224. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Clark, Megan can be contacted via phone (765) 894-7982.

Contact Information

Primary practice address
224 N East St Lebanon IN 46052-2224
Phone: (765) 894-7982
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 0340308057 Indiana

Profile Details

NPI number 1841732997
LBN Legal business name Clark, Megan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841732997 NPPES
Indiana MEDICAID 105626973999
Indiana MEDICAID 105626974799

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