Clark, Adam Merritt

Clark, Adam Merritt is an sole proprietor health care provider with primary practice located at 5009 Boulder Creek Ln , Raleigh NC 27613-6075. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Clark, Adam Merritt can be contacted via phone (919) 302-6255.

Contact Information

Primary practice address
5009 Boulder Creek Ln Raleigh NC 27613-6075
Phone: (919) 302-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X 1000-00677 North Carolina

Profile Details

NPI number 1114462280
LBN Legal business name Clark, Adam Merritt
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2016
Last updated Dec 28th, 2016 - about 9 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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