Clark, Carol W

Clark, Carol W is an individual health care provider with primary practice located at 600 South Drive , Fort Collins CO 80523. She recently has only one registered license in Nursing Service Providers / College Health, which is considered as her primary health care specialty. Clark, Carol W can be contacted via phone (970) 491-7121.

Contact Information

Primary practice address
600 South Drive Fort Collins CO 80523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / College Health 163WC1400X 84-6000-545 Colorado

Profile Details

NPI number 1346532751
LBN Legal business name Clark, Carol W
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated May 4th, 2011 - about 14 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.

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