Clark, Shannon L
Clark, Shannon L is an individual health care provider with primary practice located at 1115 W 5Th St , Tempe AZ 85281-2510. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Clark, Shannon L can be contacted via phone (480) 929-9909.Contact Information
Primary practice address
1115 W 5Th St
Tempe AZ 85281-2510
Phone: (480) 929-9909
Fax: (480) 804-0384
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / School | 163WS0200X | 242334 | Arizona |
Profile Details
NPI number | 1255052031 |
---|---|
LBN Legal business name | Clark, Shannon L |
Credentials | RN CCM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2022 |
Last updated | Sep 8th, 2022 - about 2 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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