Clark, Michael P

Clark, Michael P is an sole proprietor health care provider with primary practice located at 1011 S Muskogee Ave , Tahlequah OK 74464-4733. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clark, Michael P can be contacted via phone (918) 525-6035.

Contact Information

Primary practice address
1011 S Muskogee Ave Tahlequah OK 74464-4733
Phone: (918) 525-6035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Oklahoma

Profile Details

NPI number 1417732397
LBN Legal business name Clark, Michael P
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2023
Last updated Aug 29th, 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.

Request for update

Popular Providers