Clark, Kathleen M
Clark, Kathleen M is an sole proprietor health care provider with primary practice located at 209 Commercial St , Hartland ME 04943-3710. She recently has only one registered license in Chiropractic Providers / Neurology, which is considered as her primary health care specialty. Clark, Kathleen M can be contacted via phone (207) 938-4880.Contact Information
Primary practice address
209 Commercial St
Hartland ME 04943-3710
Phone: (207) 938-4880
Fax: (207) 938-4880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | CR567 | Maine |
Profile Details
| NPI number | 1043204993 |
|---|---|
| LBN Legal business name | Clark, Kathleen M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043204993 | NPPES |
| Maine | Other | 015106 | BCBS |
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