Clacks, Dwayne

Clacks, Dwayne is an sole proprietor health care provider with primary practice located at 1629 K St Nw Ste 300 , Washington DC 20006-1631. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Clacks, Dwayne can be contacted via phone (202) 531-0195.

Contact Information

Primary practice address
1629 K St Nw Ste 300 Washington DC 20006-1631
Phone: (202) 531-0195
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1396221255
LBN Legal business name Clacks, Dwayne
Credentials CERTIFIED TRAINER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2018
Last updated Nov 10th, 2020 - about 6 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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