Clark, Roger
Clark, Roger is an sole proprietor health care provider with primary practice located at 2200 Bonforte Blvd , Pueblo CO 81001-4901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Clark, Roger can be contacted via phone (719) 549-2530.Contact Information
Primary practice address
2200 Bonforte Blvd
Pueblo CO 81001-4901
Phone: (719) 549-2530
Fax: (719) 549-2549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 627 | Colorado |
Profile Details
| NPI number | 1225458136 |
|---|---|
| LBN Legal business name | Clark, Roger |
| Credentials | ATC, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2014 |
| Last updated | Apr 17th, 2014 - about 10 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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