Clark, Heidi Lynn
Clark, Heidi Lynn is an sole proprietor health care provider with primary practice located at 60 Mdg/Mdts 101 Bodin Circle, Travis Afb CA 94535-1809. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clark, Heidi Lynn can be contacted via phone (707) 423-3665.Contact Information
Primary practice address
60 Mdg/Mdts 101 Bodin Circle
Travis Afb CA 94535-1809
Phone: (707) 423-3665
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
NPI number | 1720154701 |
---|---|
LBN Legal business name | Clark, Heidi Lynn |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2006 |
Last updated | Aug 4th, 2015 - about 10 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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