Clark, Alice Bryce

Clark, Alice Bryce is an sole proprietor health care provider with primary practice located at 1748 Country Oaks Ln , Thousand Oaks CA 91362-1900. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Renal, Other Service Providers / Health Educator, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Clark, Alice Bryce can be contacted via phone (206) 898-0453.

Contact Information

Primary practice address
1748 Country Oaks Ln Thousand Oaks CA 91362-1900
Phone: (206) 898-0453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Other Service Providers / Health Educator 174H00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86035426 California

Profile Details

NPI number 1659090272
LBN Legal business name Clark, Alice Bryce
Credentials MS, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2022
Last updated Aug 25th, 2022 - about 4 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 1659090272 NPPES
Other 86035426 ACADEMY OF NUTRITION AND DIETETICS

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