Clark, Elizabeth Jane
Clark, Elizabeth Jane is an individual health care provider with primary practice located at 19 Halls Rd Ste 218 , Old Lyme CT 06371-1457. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Clark, Elizabeth Jane can be contacted via phone (860) 434-7378.Contact Information
Primary practice address
19 Halls Rd Ste 218
Old Lyme CT 06371-1457
Phone: (860) 434-7378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 009894 | Connecticut |
Profile Details
| NPI number | 1407038128 |
|---|---|
| LBN Legal business name | Clark, Elizabeth Jane |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Mar 9th, 2010 - about 14 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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