Clark, Samuel Edward
Clark, Samuel Edward is an individual health care provider with primary practice located at 17 South Central Av. , Idabel OK 74745-4625. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clark, Samuel Edward can be contacted via phone (580) 286-5184.Contact Information
Primary practice address
17 South Central Av.
Idabel OK 74745-4625
Phone: (580) 286-5184
Fax: (580) 286-5185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1326269804 |
|---|---|
| LBN Legal business name | Clark, Samuel Edward |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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