Clark, Thayer A
Clark, Thayer A is an sole proprietor health care provider with primary practice located at 76 Watertown Rd Ste 2F , Thomaston CT 06787-1826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Thayer A can be contacted via phone (860) 880-8091.Contact Information
Primary practice address
76 Watertown Rd Ste 2F
Thomaston CT 06787-1826
Phone: (860) 880-8091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7667 | Connecticut |
Profile Details
| NPI number | 1477052157 |
|---|---|
| LBN Legal business name | Clark, Thayer A |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2018 |
| Last updated | Jun 28th, 2019 - about 7 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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