Clark, Dominique
Clark, Dominique is an sole proprietor health care provider with primary practice located at 7474 Greenway Center Dr Ste 730 , Greenbelt MD 20770-3523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Dominique can be contacted via phone (301) 982-3437.Contact Information
Primary practice address
7474 Greenway Center Dr Ste 730
Greenbelt MD 20770-3523
Phone: (301) 982-3437
Fax: (301) 982-9452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0005875 | Maryland |
Profile Details
| NPI number | 1700255726 |
|---|---|
| LBN Legal business name | Clark, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Jul 21st, 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.
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