Clark, Emily Faith

Clark, Emily Faith is an individual health care provider with primary practice located at 111050 Mount Belvedere Blvd , Fort Drum NY 13602. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Emily Faith can be contacted via phone (254) 537-3292.

Contact Information

Primary practice address
111050 Mount Belvedere Blvd Fort Drum NY 13602
Phone: (254) 537-3292
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1770249658
LBN Legal business name Clark, Emily Faith
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2021
Last updated Nov 15th, 2021 - about 3 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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