Clark, Rebecca Theresa

Clark, Rebecca Theresa is an individual health care provider with primary practice located at 3236 Kirkman St , Lake Charles LA 70601-8640. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Clark, Rebecca Theresa can be contacted via phone (337) 478-6020.

Contact Information

Primary practice address
3236 Kirkman St Lake Charles LA 70601-8640
Phone: (337) 478-6020
Fax: (337) 475-4820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN088489 Louisiana

Profile Details

NPI number 1114331543
LBN Legal business name Clark, Rebecca Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2014
Last updated Jun 13th, 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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