Clark, Vickie Diane
Clark, Vickie Diane is an sole proprietor health care provider with primary practice located at 10905 Ne 10Th St , Midwest City OK 73130-2209. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Clark, Vickie Diane can be contacted via phone (918) 791-1995.Contact Information
Primary practice address
10905 Ne 10Th St
Midwest City OK 73130-2209
Phone: (918) 791-1995
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1760765374 |
|---|---|
| LBN Legal business name | Clark, Vickie Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2011 |
| Last updated | Sep 21st, 2011 - about 13 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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