Clark, Sharon Rose

Clark, Sharon Rose is an sole proprietor health care provider with primary practice located at 600 S Lakeview St Ste. 202, Sturgis MI 49091-2371. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Other Service Providers / Midwife. Nursing Service Providers / Maternal Newborn is her primary health care specialty. Clark, Sharon Rose can be contacted via phone (269) 659-0174.

Contact Information

Primary practice address
600 S Lakeview St Ste. 202 Sturgis MI 49091-2371
Phone: (269) 659-0174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 4704092855 Michigan
Other Service Providers / Midwife 176B00000X 4704092855 Michigan

Profile Details

NPI number 1104970151
LBN Legal business name Clark, Sharon Rose
Credentials R.N.C.,C.N.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104970151 NPPES
Michigan MEDICAID 4565978

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