Clark, Anna E

Clark, Anna E is an individual health care provider with primary practice located at 100 Memorial Hospital Dr Suite 3A, Mobile AL 36608-1185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Clark, Anna E can be contacted via phone (251) 342-2641.

Contact Information

Primary practice address
100 Memorial Hospital Dr Suite 3A Mobile AL 36608-1185
Phone: (251) 342-2641
Fax: (251) 343-9507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA514 Alabama

Profile Details

NPI number 1760519474
LBN Legal business name Clark, Anna E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 28th, 2014 - about 11 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 1760519474 NPPES
Alabama MEDICAID 009941968

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