Clark, Barbara J
Clark, Barbara J is an individual health care provider with primary practice located at 19550 E 39Th St S Suite 100, Independence MO 64057-2303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Clark, Barbara J can be contacted via phone (816) 389-4130.Contact Information
Primary practice address
19550 E 39Th St S Suite 100
Independence MO 64057-2303
Phone: (816) 389-4130
Fax: (816) 389-4140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 047721 | Missouri |
Profile Details
| NPI number | 1912947284 |
|---|---|
| LBN Legal business name | Clark, Barbara J |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 25th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912947284 | NPPES |
| Missouri | MEDICAID | 912676244 | |
| Missouri | Other | 17957064 | |
| Missouri | Other | 430046022 | |
| Missouri | MEDICAID | 100249760B |
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