Clark, Vicki Lynn
Clark, Vicki Lynn is an sole proprietor health care provider with primary practice located at 13111 Westbrook Rd , Brookville OH 45309-8732. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Clark, Vicki Lynn can be contacted via phone (937) 833-4388.Contact Information
Primary practice address
13111 Westbrook Rd
Brookville OH 45309-8732
Phone: (937) 833-4388
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | S 0028386 | Ohio |
Nursing Service Providers / Registered Nurse | 163W00000X | RN 185313 | Ohio |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
NPI number | 1649415209 |
---|---|
LBN Legal business name | Clark, Vicki Lynn |
Credentials | RN, LSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 11th, 2008 |
Last updated | Jan 5th, 2018 - about 7 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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