Clark, Shawn David

Clark, Shawn David is an sole proprietor health care provider with primary practice located at 214 Sw 30Th St , Oklahoma City OK 73109-6506. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Clark, Shawn David can be contacted via phone (405) 272-1610.

Contact Information

Primary practice address
214 Sw 30Th St Oklahoma City OK 73109-6506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1861764839
LBN Legal business name Clark, Shawn David
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2012
Last updated Feb 6th, 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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