Clark, Alison Marie
Clark, Alison Marie is an individual health care provider with primary practice located at 789 Central Avenue Level 2, Dover NH 03820-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Clark, Alison Marie can be contacted via phone (603) 740-2503.Contact Information
Primary practice address
789 Central Avenue Level 2
Dover NH 03820-2526
Phone: (603) 740-2503
Fax: (603) 740-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 11018 | New Hampshire |
Profile Details
| NPI number | 1205820248 |
|---|---|
| LBN Legal business name | Clark, Alison Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Feb 25th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205820248 | NPPES |
| Maine | MEDICAID | 1205820248 | |
| Maine | MEDICAID | 3075301 |
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