Clark, Coryn B
Clark, Coryn B is an individual health care provider with primary practice located at 234 Glenbrook Rd Unit 4011 , Storrs CT 06269-4011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Clark, Coryn B can be contacted via phone (860) 486-4700.Contact Information
Primary practice address
234 Glenbrook Rd Unit 4011
Storrs CT 06269-4011
Phone: (860) 486-4700
Fax: (860) 486-1765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 001316 | Connecticut |
Profile Details
| NPI number | 1447248760 |
|---|---|
| LBN Legal business name | Clark, Coryn B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Dec 5th, 2016 - 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.
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