Clark, Todd L
Clark, Todd L is an individual health care provider with primary practice located at 140 Sherman St Fl 2 2Nd Floor, Fairfield CT 06824-5849. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Clark, Todd L can be contacted via phone (203) 759-8077.Contact Information
Primary practice address
140 Sherman St Fl 2 2Nd Floor
Fairfield CT 06824-5849
Phone: (203) 759-8077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9827 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9827 | Connecticut |
Profile Details
NPI number | 1407529738 |
---|---|
LBN Legal business name | Clark, Todd L |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2021 |
Last updated | Jan 21st, 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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