Clark, Brent
Clark, Brent is an individual health care provider with primary practice located at 17101 Snowmobile Ln Ste 114 , Eagle River AK 99577-7043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Clark, Brent can be contacted via phone (907) 562-2211.Contact Information
Primary practice address
17101 Snowmobile Ln Ste 114
Eagle River AK 99577-7043
Phone: (907) 562-2211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 122126 | Alaska |
Profile Details
| NPI number | 1952830226 |
|---|---|
| LBN Legal business name | Clark, Brent |
| Credentials | FNP, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Jan 8th, 2024 - about 10 months 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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