Clark, Shelby

Clark, Shelby is an individual health care provider with primary practice located at 2401 W I 44 Service Rd , Oklahoma City OK 73112-8713. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Clark, Shelby can be contacted via phone (405) 336-1665.

Contact Information

Primary practice address
2401 W I 44 Service Rd Oklahoma City OK 73112-8713
Phone: (405) 336-1665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1114651643
LBN Legal business name Clark, Shelby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Jul 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114651643 NPPES
Oklahoma Other 82-1287880 PRIVATE DUTY HOME CARE

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