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
Fax: (866) 611-5548
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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