Clark, Philip

Clark, Philip is an sole proprietor health care provider with primary practice located at 4201 N 16Th St 160, Phoenix AZ 85016-5347. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Clark, Philip can be contacted via phone (602) 277-5007.

Contact Information

Primary practice address
4201 N 16Th St 160 Phoenix AZ 85016-5347
Phone: (602) 277-5007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 417 Arizona

Profile Details

NPI number 1295142362
LBN Legal business name Clark, Philip
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2014
Last updated Jul 21st, 2014 - about 11 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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