Clark, Andrew Thomas
Clark, Andrew Thomas is an individual health care provider with primary practice located at 15740 S Outer 40 Rd , Chesterfield MO 63017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Andrew Thomas can be contacted via phone (636) 735-4268.Contact Information
Primary practice address
15740 S Outer 40 Rd
Chesterfield MO 63017
Phone: (636) 735-4268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2013001474 | Missouri |
Profile Details
| NPI number | 1497008254 |
|---|---|
| LBN Legal business name | Clark, Andrew Thomas |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2012 |
| Last updated | May 14th, 2019 - about 6 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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