Clark, Alexander M

Clark, Alexander M is an individual health care provider with primary practice located at 49 Lawrence Ave , Potsdam NY 13676-1889. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Clark, Alexander M can be contacted via phone (315) 265-0394.

Contact Information

Primary practice address
49 Lawrence Ave Potsdam NY 13676-1889
Phone: (315) 265-0394
Fax: (315) 265-0396
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35934 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 35934 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 223227 New York

Profile Details

NPI number 1164434734
LBN Legal business name Clark, Alexander M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Dec 14th, 2012 - about 13 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 1164434734 NPPES
Arizona MEDICAID 124517

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