Dr. Carolyn E. Clark

LBN: Carolyn E Clark Md Inc
Dr. Carolyn E. Clark is an health care organization with primary practice located at 1124 19Th St , Huntington WV 25701-3904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Carolyn E Clark Md Inc can be contacted via phone (304) 529-4117, or through Clark, Carolyn E via phone (304) 529-4117.

Contact Information

Primary practice address
1124 19Th St Huntington WV 25701-3904
Fax: (304) 529-4117
Website:
Authorized official contact:
Name: Clark, Carolyn E Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1265567598
LBN Legal business name Carolyn E Clark Md Inc
DBA Doing business as Dr. Carolyn E. Clark
Authorized official Clark, Carolyn E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265567598 NPPES
Ohio MEDICAID 0965817
Ohio MEDICAID 3810005901

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