Clark, Tracey Durkovich
Clark, Tracey Durkovich is an individual health care provider with primary practice located at 1 Ridgewood Drive , Bangor ME 04401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Clark, Tracey Durkovich can be contacted via phone (207) 945-6200.Contact Information
Primary practice address
1 Ridgewood Drive
Bangor ME 04401
Phone: (207) 945-6200
Fax: (207) 990-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OT012459 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2313 | Maine |
Profile Details
| NPI number | 1437314127 |
|---|---|
| LBN Legal business name | Clark, Tracey Durkovich |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2008 |
| Last updated | Dec 10th, 2013 - about 13 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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