Clarke, Tracie Ann

Clarke, Tracie Ann is an sole proprietor health care provider with primary practice located at 31 Fargo Dr , Huntington VT 05462-9703. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Clarke, Tracie Ann can be contacted via phone (802) 999-3671.

Contact Information

Primary practice address
31 Fargo Dr Huntington VT 05462-9703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 074-0000225 Vermont
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 074-0000225 Vermont

Profile Details

NPI number 1306087895
LBN Legal business name Clarke, Tracie Ann
Credentials MS, RD, CD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2009
Last updated Jul 6th, 2021 - about 3 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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