Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANELL CLARK
Active Sole ProprietorSHANELL CLARK is a 376G00000X healthcare provider located in OAK PARK, Michigan. NPI 1972958106 is currently active in the NPPES registry. Verify at CMS.
376G00000X · OAK PARK, MI
Registration Details
- NPI Number
- 1972958106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2016 (10.314296171304 yrs)
- Last Updated
- Apr 25, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
21820 BEVERLY STOAK PARK, MI, 482372503Browse MI providers · Browse ZIP 48237
- Phone
- 2482346150
- Primary Specialty
-
376G00000X
376G00000X
- Additional Specialty
- Chore Provider
- Additional Specialty
- Day Training/Habilitation
- Additional Specialty
- 376G00000X
Other 376G00000X Providers in OAK PARK, MI
| Name | Credential | NPI |
|---|---|---|
| LARESE WOOD | HEALTH CARE PROVIDER | 1457877110 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.