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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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