Clark Nieblas, Amanda Kay

Clark Nieblas, Amanda Kay is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark Nieblas, Amanda Kay can be contacted via phone (844) 458-2100.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (844) 458-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1417670555
LBN Legal business name Clark Nieblas, Amanda Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2022
Last updated Sep 23rd, 2022 - about 3 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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