Clark, Traci D

Clark, Traci D is an individual health care provider with primary practice located at 224 N Fairview Road , Rocky Mount NC 27801. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Clark, Traci D can be contacted via phone (252) 446-7246.

Contact Information

Primary practice address
224 N Fairview Road Rocky Mount NC 27801
Phone: (252) 446-7246
Fax: (252) 446-5407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2876 North Carolina

Profile Details

NPI number 1073548996
LBN Legal business name Clark, Traci D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 14th, 2007 - about 18 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 1073548996 NPPES
North Carolina MEDICAID 89085PH

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