Clark, Richard William

Clark, Richard William is an individual health care provider with primary practice located at 40 Avon St , Keene NH 03431-3516. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Clark, Richard William can be contacted via phone (603) 357-4400.

Contact Information

Primary practice address
40 Avon St Keene NH 03431-3516
Phone: (603) 357-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1124889803
LBN Legal business name Clark, Richard William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2024
Last updated Apr 11th, 2024 - about last year

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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