Clark, Richard C
Clark, Richard C is an individual health care provider with primary practice located at 800 Pineview Dr , Hattiesburg MS 39401-7459. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, Richard C can be contacted via phone (601) 705-1901.Contact Information
Primary practice address
800 Pineview Dr
Hattiesburg MS 39401-7459
Phone: (601) 705-1901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | AD97-012C | Mississippi |
Profile Details
| NPI number | 1285866079 |
|---|---|
| LBN Legal business name | Clark, Richard C |
| Credentials | MDCAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2009 |
| Last updated | Aug 13th, 2009 - about 16 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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