Tyler J Clark, RD
Dietitian, Registered in Brockton, Massachusetts
1639492523- Practice location
- 940 Belmont St, Food And Nutrition Services, Brockton, MA 02301-5596
- Phone
- 774-826-1439
- Fax
- —
- Last updated
- May 6, 2015
Tyler John Clark is a Dietitian, Registered based in Brockton, MA. Tyler John Clark practices in Brockton, MA and has the professional credentials of RD. The NPI Number for Tyler John Clark is 1639492523 and holds a License No. 3061 (MA). The current practice location address for Tyler John Clark is 940 Belmont St, Food And Nutrition Services, Brockton, MA 02301-5596 and can be reached out via phone at 774-826-1439.
Provider Profile Details
- NPI Number
- 1639492523
- Provider Name
- Tyler John Clark
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 940 Belmont St, Food And Nutrition Services, Brockton, MA 02301-5596
- Phone Number
- 774-826-1439
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 5, 2010
- Last Update Date
- May 6, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 940 Belmont St
Food And Nutrition Services
Brockton, MA 02301-5596 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-5596
- Phone Number
- 774-826-1439
Provider Business Mailing Address Details
- Address
- 940 Belmont St
Food And Nutrition Services
Brockton, MA 02301-5596 - City
- Brockton
- State
- MA
- Zip
- 02301-5596
- Phone Number
- 774-826-1439
License Information
- License Number
- 3061
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Brockton, MA
View all Dietitian, Registered providers in Brockton →- Alexandra M Rhea, MS, RDN, LDNDietitian, Registered · NPI 1700537065
- Alyssa L White, RD, LDNDietitian, Registered · NPI 1518664580
- Amy AllisonDietitian, Registered · NPI 1457718140
- Bethany Lusk, RDDietitian, Registered · NPI 1558721506
- Christopher Guarino, MS, RD, LDNDietitian, Registered · NPI 1780427914
- Darnell BrowneDietitian, Registered · NPI 1235703901
Frequently Asked Questions
What is the NPI number of Tyler J Clark, RD?
The NPI number of Tyler J Clark, RD is 1639492523. It was assigned on March 5, 2010 and is currently active in the NPPES registry.
What is the specialty of Tyler J Clark, RD?
Tyler J Clark, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3061.
Where does Tyler J Clark, RD practice?
The practice location is 940 Belmont St, Food And Nutrition Services, Brockton, MA 02301-5596. The office can be reached at 774-826-1439 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639492523 directly on the NPPES registry website.