Clark, Shannon

Clark, Shannon is an sole proprietor health care provider with primary practice located at 200 General St , Batesville AR 72501-9407. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Clark, Shannon can be contacted via phone (870) 793-3200.

Contact Information

Primary practice address
200 General St Batesville AR 72501-9407
Phone: (870) 793-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1700147436
LBN Legal business name Clark, Shannon
Credentials BSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated May 29th, 2012 - about 12 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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