Active NPIIndividual provider

Christian Clark

Counselor in Fitchburg, Massachusetts

NPI Number1912544263
Practice location
545 Westminster St, Fitchburg, MA 01420-4766
Fax
978-829-2210
Last updated
December 5, 2019

Christian Clark is a Counselor based in Fitchburg, MA. Christian Clark practices in Fitchburg, MA. The NPI Number for Christian Clark is 1912544263. The current practice location address for Christian Clark is 545 Westminster St, Fitchburg, MA 01420-4766 and can be reached out via phone at 978-345-0685 and via fax at 978-829-2210.

Provider Profile Details

NPI Number
1912544263
Provider Name
Christian Clark
Provider Entity Type
Individual
Gender
Male
Address
545 Westminster St, Fitchburg, MA 01420-4766
Phone Number
978-345-0685
Fax Number
978-829-2210
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2019
Last Update Date
December 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
545 Westminster St
Fitchburg, MA 01420-4766
Zip
01420-4766
Phone Number
978-345-0685
Fax Number
978-829-2210
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
545 Westminster St
Fitchburg, MA 01420-4766
City
Fitchburg
State
MA
Zip
01420-4766
Phone Number
978-345-0685
Fax Number
978-829-2210

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Christian Clark?

The NPI number of Christian Clark is 1912544263. It was assigned on December 5, 2019 and is currently active in the NPPES registry.

What is the specialty of Christian Clark?

Christian Clark is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Christian Clark practice?

The practice location is 545 Westminster St, Fitchburg, MA 01420-4766. The office can be reached at 978-345-0685 (phone) or 978-829-2210 (fax).

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 1912544263 directly on the NPPES registry website.

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