Clapp, Mark Allen

Clapp, Mark Allen is an individual health care provider with primary practice located at 315 N Washington Ave Suite 130, Cookeville TN 38501-2603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Clapp, Mark Allen can be contacted via phone (931) 526-1050.

Contact Information

Primary practice address
315 N Washington Ave Suite 130 Cookeville TN 38501-2603
Fax: (931) 526-8163
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C0365 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18488 Tennessee

Profile Details

NPI number 1376592782
LBN Legal business name Clapp, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376592782 NPPES
Tennessee MEDICAID 3030409

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