MEGAN CLARK, Private Vehicle LEBANON, IN

Contact Information

MEGAN CLARK

224 N EAST ST
LEBANON, IN 46052-2224

Phone: 765-894-7982
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for MEGAN CLARK · (Female)

NPI Number	`1841732997`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/07/2016
Last updated	11/07/2016 - About 10 years ago
Sole proprietor ¹	Yes
Identifiers	IN License # 0340308057 IN Medicaid 105626973999 IN Medicaid 105626974799
Hospital affiliation(s)	Not Available

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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MEGAN CLARKPrivate Vehicle

Contact Information

Specialty

Private Vehicle

NPI Profile & details for MEGAN CLARK · (Female)

Reviews for MEGAN CLARK

MEGAN CLARK
Private Vehicle