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Contact Information

MARY J CLARK, RN, CHES
1450 N COUNTY ROAD 2050 E
CARTHAGE, IL62321-3551
 Phone: 217-357-6832
 Fax: 217-357-6839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for MARY J CLARK · (Female)

NPI Number 1548986565
Status Active
Credentials RN, CHES
Entity Individual
Enumeration date 10/12/2022
Last updated 10/12/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 9468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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