Clark, Susan

Clark, Susan is an individual health care provider with primary practice located at 5601 Loch Raven Blvd Good Health Center, O'Neil Bldg 2Nd Fl, Baltimore MD 21239-2945. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Clark, Susan can be contacted via phone (443) 444-4550.

Contact Information

Primary practice address
5601 Loch Raven Blvd Good Health Center, O'Neil Bldg 2Nd Fl Baltimore MD 21239-2945
Phone: (443) 444-4550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X RN144178 Maryland

Profile Details

NPI number 1619215225
LBN Legal business name Clark, Susan
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 12 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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