Clark, Samantha Irene
Clark, Samantha Irene is an sole proprietor health care provider with primary practice located at Psc 851 Box 340 , Fpo AE 09834-0004. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Clark, Samantha Irene can be contacted via phone (318) 439-9053.Contact Information
Primary practice address
Psc 851 Box 340
Fpo AE 09834-0004
Phone: (318) 439-9053
Fax: (318) 439-9053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1932510377 |
|---|---|
| LBN Legal business name | Clark, Samantha Irene |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2014 |
| Last updated | May 19th, 2014 - about 11 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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