Clark, Donita J

Clark, Donita J is an individual health care provider with primary practice located at 3 E Appleby Rd Ste 202 , Fayetteville AR 72703-4424. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Donita J can be contacted via phone (479) 404-1140.

Contact Information

Primary practice address
3 E Appleby Rd Ste 202 Fayetteville AR 72703-4424
Phone: (479) 404-1140
Fax: (479) 404-1141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 831 Arkansas

Profile Details

NPI number 1750534202
LBN Legal business name Clark, Donita J
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 3rd, 2017 - about 8 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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