Clark, Michelle Rae

Clark, Michelle Rae is an sole proprietor health care provider with primary practice located at 2014 Blake Ave , Glenwood Springs CO 81601-4229. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Michelle Rae can be contacted via phone (970) 625-5200.

Contact Information

Primary practice address
2014 Blake Ave Glenwood Springs CO 81601-4229
Phone: (970) 625-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH002026398 Colorado

Profile Details

NPI number 1154052843
LBN Legal business name Clark, Michelle Rae
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2022
Last updated Aug 1st, 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.

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