Clarke, Genevieve

Clarke, Genevieve is an individual health care provider with primary practice located at 7202 Rainbow Ln , Frederick MD 21702-2979. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Clarke, Genevieve can be contacted via phone (781) 223-0746.

Contact Information

Primary practice address
7202 Rainbow Ln Frederick MD 21702-2979
Phone: (781) 223-0746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1720329543
LBN Legal business name Clarke, Genevieve
Credentials RDN, LDN, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2013
Last updated May 15th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720329543 NPPES
Other 1044258 COMMISSION ON DIETETIC REGISTRATION
Other DI100000694 COMMISSION ON DIETETIC REGISTRATION
Other DX3311 COMMISSION ON DIETETIC REGISTRATION

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