Clark, Santago

Clark, Santago is an sole proprietor health care provider with primary practice located at 4607 Trial Dr. , Addis LA 70710. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clark, Santago can be contacted via phone (225) 907-6659.

Contact Information

Primary practice address
4607 Trial Dr. Addis LA 70710
Phone: (225) 907-6659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1598231011
LBN Legal business name Clark, Santago
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2018
Last updated Oct 23rd, 2018 - about 7 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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