Clark, Nicole M

Clark, Nicole M is an sole proprietor health care provider with primary practice located at 801 Pleasant St , Brockton MA 02301-3052. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clark, Nicole M can be contacted via phone (508) 586-5977.

Contact Information

Primary practice address
801 Pleasant St Brockton MA 02301-3052
Phone: (508) 586-5977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1992413850
LBN Legal business name Clark, Nicole M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2022
Last updated Nov 9th, 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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