Clark, Stephanie
Clark, Stephanie is an sole proprietor health care provider with primary practice located at 3 Elmwood Rd , Hancock NH 03449-5629. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition. Chiropractic Providers / Nutrition is her primary health care specialty. Clark, Stephanie can be contacted via phone (603) 525-3335.Contact Information
Primary practice address
3 Elmwood Rd
Hancock NH 03449-5629
Phone: (603) 525-3335
Fax: (866) 611-5548
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 38-010216 | Illinois |
Chiropractic Providers / Nutrition | 111NN1001X | 8450809 | New Hampshire |
Profile Details
NPI number | 1851395453 |
---|---|
LBN Legal business name | Clark, Stephanie |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 10th, 2005 |
Last updated | Jan 10th, 2020 - about 4 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 | 1851395453 | NPPES |
New Hampshire | Other | 0019272201 | MEDICARE PTAN |
New Hampshire | Other | 08132071 | MEDICARE PTAN |
New Hampshire | Other | 210028 | MEDICARE PTAN |
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