Clarke, Constance J.

Clarke, Constance J. is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Clarke, Constance J. can be contacted via phone (781) 849-2275.

Contact Information

Primary practice address
111 Grossman Dr Braintree MA 02184-4997
Phone: (781) 849-2275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 144849 Massachusetts

Profile Details

NPI number 1760490544
LBN Legal business name Clarke, Constance J.
Credentials RNCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 10th, 2009 - about 15 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 1760490544 NPPES
Massachusetts Other PN0053 BLUE CROSS
Massachusetts Other 669492 BLUE CROSS

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