Clark, Roy Ellis

Clark, Roy Ellis is an sole proprietor health care provider with primary practice located at 1655 N Gladstone Ave , Columbus IN 47201-5392. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Clark, Roy Ellis can be contacted via phone (812) 376-3071.

Contact Information

Primary practice address
1655 N Gladstone Ave Columbus IN 47201-5392
Phone: (812) 376-3071
Fax: (812) 378-5721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002042 Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002042 Indiana

Profile Details

NPI number 1285808188
LBN Legal business name Clark, Roy Ellis
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 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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