Clark, Catharine
Clark, Catharine is an sole proprietor health care provider with primary practice located at 2535 Waterside Dr , Frederick MD 21701-3211. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Clark, Catharine can be contacted via phone (301) 695-1114.Contact Information
Primary practice address
2535 Waterside Dr
Frederick MD 21701-3211
Phone: (301) 695-1114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | DX2904 | Maryland |
Profile Details
| NPI number | 1023363546 |
|---|---|
| LBN Legal business name | Clark, Catharine |
| Credentials | MA, LDN, CNS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2012 |
| Last updated | Jul 20th, 2012 - about 13 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 | 1023363546 | NPPES |
| Maryland | Other | 46-0575525 | IRS |
| Maryland | Other | DX2904 | IRS |
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