Clark, Kevin
Clark, Kevin is an sole proprietor health care provider with primary practice located at 415 Route 34 Suite 210, Colts Neck NJ 07722-2522. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Clark, Kevin can be contacted via phone (302) 249-0143.Contact Information
Primary practice address
415 Route 34 Suite 210
Colts Neck NJ 07722-2522
Phone: (302) 249-0143
Fax: (732) 775-3515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | CQ-0000029 | Delaware |
Other Service Providers / Acupuncturist | 171100000X | 25MZ00104200 | New Jersey |
Profile Details
NPI number | 1265736508 |
---|---|
LBN Legal business name | Clark, Kevin |
Credentials | DAOM, L. AC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2010 |
Last updated | Feb 10th, 2017 - about 7 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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