National Provider Identifier Database

MICHAEL D CLARK
Driver

A person employed to operate a motor vehicle as a carrier of persons or property.


Contact Information

MICHAEL D CLARK
619 CLARENCE ST APT 5
LAKE CHARLES, LA70601-5370
Phone: 337-721-8070
Fax: 337-721-8060
Website:
Specialty Taxonomy Code
* Driver 172A00000X

* Indicates primary specialty

NPI Profile & details for MICHAEL D CLARK

NPI Number 1063683597
Credentials
Entity Individual
Enumeration date 03/12/2008
Last updated 03/12/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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