Clark, Terri S
Clark, Terri S is an sole proprietor health care provider with primary practice located at 406 Highway 6 South , Oakland IA 51560-0323. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Clark, Terri S can be contacted via phone (712) 482-3686.Contact Information
Primary practice address
406 Highway 6 South
Oakland IA 51560-0323
Phone: (712) 482-3686
Fax: (712) 482-3636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1184703159 |
|---|---|
| LBN Legal business name | Clark, Terri S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184703159 | NPPES |
| Iowa | MEDICAID | 0432617 |
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