Clark, Christine D

Clark, Christine D is an sole proprietor health care provider with primary practice located at 221 Woodland Ave , Bloomington IL 61701-5659. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Clark, Christine D can be contacted via phone (309) 824-5841.

Contact Information

Primary practice address
221 Woodland Ave Bloomington IL 61701-5659
Phone: (309) 824-5841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X NON NUMBERED LICENSE Utah

Profile Details

NPI number 1043495179
LBN Legal business name Clark, Christine D
Credentials PH.D., TVI, DTV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 2008 - about 16 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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