Clark, Timothy

Clark, Timothy is an individual health care provider with primary practice located at 8555 Fairmount Dr Apt I108 , Denver CO 80247-6509. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Clark, Timothy can be contacted via phone (303) 587-3298.

Contact Information

Primary practice address
8555 Fairmount Dr Apt I108 Denver CO 80247-6509
Phone: (303) 587-3298
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1649943739
LBN Legal business name Clark, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2021
Last updated Jul 26th, 2021 - about 4 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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