Clarke, Sheryll E

Clarke, Sheryll E is an individual health care provider with primary practice located at 3311 E Murdock St , Wichita KS 67208-3054. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clarke, Sheryll E can be contacted via phone (316) 689-9251.

Contact Information

Primary practice address
3311 E Murdock St Wichita KS 67208-3054
Phone: (316) 689-9251
Fax: (316) 689-9769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 365 Kansas

Profile Details

NPI number 1548444219
LBN Legal business name Clarke, Sheryll E
Credentials LD RD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Mar 2nd, 2017 - about 8 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 1548444219 NPPES
Other 003719001 MEDICARE
MEDICAID 200539620A MEDICARE

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