Clark, Elizabeth C

Clark, Elizabeth C is an individual health care provider with primary practice located at 399 Daniel Webster Hwy , Merrimack NH 03054-4112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Clark, Elizabeth C can be contacted via phone (603) 429-1611.

Contact Information

Primary practice address
399 Daniel Webster Hwy Merrimack NH 03054-4112
Phone: (603) 429-1611
Fax: (603) 429-1285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 8987 New Hampshire

Profile Details

NPI number 1437111796
LBN Legal business name Clark, Elizabeth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 18th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437111796 NPPES
Massachusetts Other 008987 TUFTS HEALTH PLAN
Massachusetts Other 0109211YONH01 TUFTS HEALTH PLAN
Massachusetts MEDICAID 80002773 TUFTS HEALTH PLAN

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