Clark, Theresa
Clark, Theresa is an sole proprietor health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Clark, Theresa can be contacted via phone (318) 473-0010.Contact Information
Primary practice address
2495 Shreveport Hwy
Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 163WM0705X | Louisiana |
Profile Details
| NPI number | 1104079839 |
|---|---|
| LBN Legal business name | Clark, Theresa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2008 |
| Last updated | Oct 26th, 2008 - about 16 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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