Clark, Wendy

Clark, Wendy is an individual health care provider with primary practice located at 1004 Republic St , Ardmore OK 73401-4555. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Clark, Wendy can be contacted via phone (580) 798-4421.

Contact Information

Primary practice address
1004 Republic St Ardmore OK 73401-4555
Phone: (580) 798-4421
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1275215923
LBN Legal business name Clark, Wendy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2023
Last updated Aug 2nd, 2023 - about 2 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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