Allen, Clark Hunter
Allen, Clark Hunter is an individual health care provider with primary practice located at 3345 Potomac Way , Idaho Falls ID 83404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Allen, Clark Hunter can be contacted via phone (208) 552-6210.Contact Information
Primary practice address
3345 Potomac Way
Idaho Falls ID 83404
Phone: (208) 552-6210
Fax: (208) 552-2027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | M8027 | Idaho |
Profile Details
| NPI number | 1780679126 |
|---|---|
| LBN Legal business name | Allen, Clark Hunter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Dec 21st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780679126 | NPPES |
| Idaho | MEDICAID | 805808300 |
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