Clark, Nicolette Mw
Clark, Nicolette Mw is an sole proprietor health care provider with primary practice located at 128 E Apple St , Dayton OH 45409-2902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clark, Nicolette Mw can be contacted via phone (937) 208-4953.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57.251172 | Ohio |
Profile Details
| NPI number | 1174104111 |
|---|---|
| LBN Legal business name | Clark, Nicolette Mw |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Apr 20th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174104111 | NPPES |
| Ohio | Other | 57.251172 | TRAINING CERTIFICATE (MD) |
Popular Providers
-
Dunn, Margaret M
30 E Apple St Suite 5253, Dayton OH 45409-2939 -
Walusimbi, Mbaga S
30 East Apple Street Suite 5253, Dayton OH 45409 -
Lebamoff, Damian Ivan
3737 Southern Blvd Ste 2000 , Dayton OH 45429-1285 -
Mccarthy, Mary C
30 East Apple Street Suite 5253, Dayton OH 45409 -
Barney, Linda M
30 E Apple St Suite 5253, Dayton OH 45409-2939 -
Williams, Philip Copelain
One Elizabeth Place Suite 10A, Dayton OH 45408 -
Brown, Carey Christopher
7740 Washington Village Dr Ste 110 , Dayton OH 45459-3994 -
Meadows, Kirk P
1222 S Patterson Blvd Suite 120, Dayton OH 45402-2684