Clark, Mary Christine

Clark, Mary Christine is an sole proprietor health care provider with primary practice located at 2774 230Th St , Cushing WI 54006-3421. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Clark, Mary Christine can be contacted via phone (715) 808-2603.

Contact Information

Primary practice address
2774 230Th St Cushing WI 54006-3421
Phone: (715) 808-2603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1740698935
LBN Legal business name Clark, Mary Christine
Credentials RCP, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2014
Last updated Jul 31st, 2014 - 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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