Clark, Nancy Ellen

Clark, Nancy Ellen is an sole proprietor health care provider with primary practice located at 25 Mule Road B9, Toms River NJ 08755. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Clark, Nancy Ellen can be contacted via phone (732) 966-1285.

Contact Information

Primary practice address
25 Mule Road B9 Toms River NJ 08755
Fax: (732) 240-1441
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N05156 New York

Profile Details

NPI number 1760400071
LBN Legal business name Clark, Nancy Ellen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Dec 9th, 2011 - about 13 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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