St.Dennis, Clarke
St.Dennis, Clarke is an individual health care provider with primary practice located at 850 West Maple Street Eastern State Hospital, Medical Lake WA 99022. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. St.Dennis, Clarke can be contacted via phone (509) 299-4466.Contact Information
Primary practice address
850 West Maple Street Eastern State Hospital
Medical Lake WA 99022
Phone: (509) 299-4466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Psychiatric | 1835P1300X | PH00009320 | Washington |
Profile Details
| NPI number | 1063492775 |
|---|---|
| LBN Legal business name | St.Dennis, Clarke |
| Credentials | RPH, PHD, BCPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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