Clark, Sharla
Clark, Sharla is an individual health care provider with primary practice located at 1951 Bench Road, Suite B , Pocatello ID 83201-4008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Clark, Sharla can be contacted via phone (208) 238-1000.Contact Information
Primary practice address
1951 Bench Road, Suite B
Pocatello ID 83201-4008
Phone: (208) 238-1000
Fax: (208) 238-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MRO-1246 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-0750 | Idaho |
Profile Details
| NPI number | 1093078578 |
|---|---|
| LBN Legal business name | Clark, Sharla |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Dec 9th, 2015 - about 10 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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