Megan Clark is a Private Vehicle based in Lebanon, IN. Megan Clark practices in Lebanon, IN. The NPI Number for Megan Clark is 1841732997 and holds a License No. 0340308057 (Indiana).
The current practice location address for Megan Clark is 224 N East St, Lebanon, IN and can be reached out via phone at 765-894-7982.
Location: 224 N East St, Lebanon, IN, 46052-2224
Provider Profile Details
NPI Number
1841732997
Provider Name
Megan Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
224 N East St, Lebanon, IN, 46052-2224
Phone Number
765-894-7982
Fax Number
Provider Enumeration Date
11/07/2016
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105626973999 | 05 | IN | |
| 105626974799 | 05 | IN |
Provider Business Practice Location Address Details
Address
224 N East St
City
State
Zip
46052-2224
Phone Number
765-894-7982
Fax Number
Provider Business Mailing Address Details
Address
224 N East St
City
State
Zip
46052-2224
Phone Number
765-894-7982
Fax Number
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
License No.
0340308057 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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