Clark, Dane Edward

Clark, Dane Edward is an sole proprietor health care provider with primary practice located at 4 5Th Ave , Newburgh NY 12550-2716. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Clark, Dane Edward can be contacted via phone (845) 566-1333.

Contact Information

Primary practice address
4 5Th Ave Newburgh NY 12550-2716
Fax: (845) 229-4351
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009240 New York

Profile Details

NPI number 1861547721
LBN Legal business name Clark, Dane Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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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