Clark, Richard Jack
Clark, Richard Jack is an individual health care provider with primary practice located at 68 S 600 E , Salt Lake City UT 84102-1007. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clark, Richard Jack can be contacted via phone (801) 428-3244.Contact Information
Primary practice address
68 S 600 E
Salt Lake City UT 84102-1007
Phone: (801) 428-3244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | #518 | Utah |
Profile Details
| NPI number | 1316393283 |
|---|---|
| LBN Legal business name | Clark, Richard Jack |
| Credentials | PEER SUPPORT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | May 11th, 2016 - about 9 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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