Clark, Mary E
Clark, Mary E is an sole proprietor health care provider with primary practice located at 163 Veterans Drive , White River Junction VT 05009-4728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Clark, Mary E can be contacted via phone (508) 776-8014.Contact Information
Primary practice address
163 Veterans Drive
White River Junction VT 05009-4728
Phone: (508) 776-8014
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 27610 | Nebraska |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | LP05113 | Rhode Island |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 282335 | Massachusetts |
Profile Details
NPI number | 1104174846 |
---|---|
LBN Legal business name | Clark, Mary E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 28th, 2012 |
Last updated | Sep 17th, 2021 - about 4 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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