Clark, Brad

Clark, Brad is an individual health care provider with primary practice located at 216 Vaughan St , Portland ME 04102-3204. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Clark, Brad can be contacted via phone (207) 662-2469.

Contact Information

Primary practice address
216 Vaughan St Portland ME 04102-3204
Phone: (207) 662-2469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X MC22300 Maine

Profile Details

NPI number 1811677172
LBN Legal business name Clark, Brad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2023
Last updated Jul 21st, 2023 - 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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