Clark, Nicole Tm

Clark, Nicole Tm is an individual health care provider with primary practice located at 267 Ocean Ave , Portland ME 04103-5707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Clark, Nicole Tm can be contacted via phone (207) 542-8233.

Contact Information

Primary practice address
267 Ocean Ave Portland ME 04103-5707
Phone: (207) 542-8233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X AT511 Maine

Profile Details

NPI number 1841609484
LBN Legal business name Clark, Nicole Tm
Credentials ATC-L
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 12 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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