Clark, Shelley B
Clark, Shelley B is an sole proprietor health care provider with primary practice located at 6520 Sunscope Dr , Ocean Springs MS 39564-8690. She recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as her primary health care specialty. Clark, Shelley B can be contacted via phone (228) 875-1177.Contact Information
Primary practice address
6520 Sunscope Dr
Ocean Springs MS 39564-8690
Phone: (228) 875-1177
Fax: (228) 872-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | PTA4100 | Mississippi |
Profile Details
| NPI number | 1689066367 |
|---|---|
| LBN Legal business name | Clark, Shelley B |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2015 |
| Last updated | Mar 4th, 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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