Clark, Nikole
Clark, Nikole is an sole proprietor health care provider with primary practice located at 210 Court St Ste 4 , Watertown NY 13601-4546. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Clark, Nikole can be contacted via phone (315) 783-0193.Contact Information
Primary practice address
210 Court St Ste 4
Watertown NY 13601-4546
Phone: (315) 783-0193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001882-1 | New York |
Profile Details
| NPI number | 1578985552 |
|---|---|
| LBN Legal business name | Clark, Nikole |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2014 |
| Last updated | Jan 10th, 2014 - about 11 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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