Clark, Portia

Clark, Portia is an sole proprietor health care provider with primary practice located at 1316 N Tibbs Ave , Indianapolis IN 46222-3024. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Clark, Portia can be contacted via phone (317) 634-8330.

Contact Information

Primary practice address
1316 N Tibbs Ave Indianapolis IN 46222-3024
Phone: (317) 634-8330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1326765447
LBN Legal business name Clark, Portia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2022
Last updated Oct 20th, 2022 - 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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