Clarke, Derval

Clarke, Derval is an individual health care provider with primary practice located at 625 Elmwood Ave # 683 , Rochester NY 14620-2913. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Clarke, Derval can be contacted via phone (585) 275-5051.

Contact Information

Primary practice address
625 Elmwood Ave # 683 Rochester NY 14620-2913
Phone: (585) 275-5051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992066682
LBN Legal business name Clarke, Derval
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2012
Last updated May 30th, 2012 - about 14 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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