Clark, Tracey Durkovich

Clark, Tracey Durkovich is an individual health care provider with primary practice located at 1 Ridgewood Drive , Bangor ME 04401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Clark, Tracey Durkovich can be contacted via phone (207) 945-6200.

Contact Information

Primary practice address
1 Ridgewood Drive Bangor ME 04401
Fax: (207) 990-3015
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OT012459 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2313 Maine

Profile Details

NPI number 1437314127
LBN Legal business name Clark, Tracey Durkovich
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Dec 10th, 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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