Clark, Ryan Alexander
Clark, Ryan Alexander is an sole proprietor health care provider with primary practice located at 2901 S Santa Fe Ave , Moore OK 73160-2843. 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, Ryan Alexander can be contacted via phone (405) 735-4900.Contact Information
Primary practice address
2901 S Santa Fe Ave
Moore OK 73160-2843
Phone: (405) 735-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1060 | Oklahoma |
Profile Details
| NPI number | 1518458611 |
|---|---|
| LBN Legal business name | Clark, Ryan Alexander |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2018 |
| Last updated | Apr 8th, 2019 - about 6 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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