Clark, Tennie I
Clark, Tennie I is an sole proprietor health care provider with primary practice located at 805 W Durant Ave , Wilburton OK 74578-2243. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Clark, Tennie I can be contacted via phone (918) 917-3532.Contact Information
Primary practice address
805 W Durant Ave
Wilburton OK 74578-2243
Phone: (918) 917-3532
Fax: (918) 465-0300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1386070886 |
|---|---|
| LBN Legal business name | Clark, Tennie I |
| Credentials | MSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 17th, 2013 |
| Last updated | Sep 17th, 2013 - about 11 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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