Heath, Clark D

Heath, Clark D is an individual health care provider with primary practice located at 343 Wellsian Way , Richland WA 99352-4116. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Heath, Clark D can be contacted via phone (509) 946-9191.

Contact Information

Primary practice address
343 Wellsian Way Richland WA 99352-4116
Phone: (509) 946-9191
Fax: (509) 946-8247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00006264 Washington

Profile Details

NPI number 1821150012
LBN Legal business name Heath, Clark D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 19th, 2014 - about 10 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 1821150012 NPPES
Washington MEDICAID 8335150
Washington Other 0195235

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