Clark, Denise Caroline
Clark, Denise Caroline is an individual health care provider with primary practice located at 282 Washington St , Hartford CT 06106-3322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Clark, Denise Caroline can be contacted via phone (860) 545-8950.Contact Information
Primary practice address
282 Washington St
Hartford CT 06106-3322
Phone: (860) 545-8950
Fax: (860) 545-8959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 221537 | New York |
Profile Details
| NPI number | 1891760633 |
|---|---|
| LBN Legal business name | Clark, Denise Caroline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Sep 9th, 2022 - about 2 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 | 1891760633 | NPPES |
| New York | MEDICAID | 01993140 |
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