Clark, Olivia
Clark, Olivia is an sole proprietor health care provider with primary practice located at 1115 Ball Ave Ne , Grand Rapids MI 49505-5904. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Olivia can be contacted via phone (616) 456-6571.Contact Information
Primary practice address
1115 Ball Ave Ne
Grand Rapids MI 49505-5904
Phone: (616) 456-6571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1992564983 |
|---|---|
| LBN Legal business name | Clark, Olivia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2024 |
| Last updated | Mar 13th, 2024 - about last year |
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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