Clark, Zackariah

Clark, Zackariah is an individual health care provider with primary practice located at 1401 S Seward Meridian Pkwy , Wasilla AK 99654-8312. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Clark, Zackariah can be contacted via phone (907) 631-3520.

Contact Information

Primary practice address
1401 S Seward Meridian Pkwy Wasilla AK 99654-8312
Phone: (907) 631-3520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1306307566
LBN Legal business name Clark, Zackariah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2019
Last updated Mar 28th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306307566 NPPES
Alaska MEDICAID 1691431

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