Roark, Constance

Roark, Constance is an individual health care provider with primary practice located at 2935 Baseline Rd Ste 302 , Boulder CO 80303-2367. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Roark, Constance can be contacted via phone (720) 315-0051.

Contact Information

Primary practice address
2935 Baseline Rd Ste 302 Boulder CO 80303-2367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1061264 Colorado

Profile Details

NPI number 1639521941
LBN Legal business name Roark, Constance
Credentials R.D.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 10 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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