Clark, Carolyn E.

Clark, Carolyn E. is an individual health care provider with primary practice located at 1124 19Th St , Huntington WV 25701-3904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Clark, Carolyn E. can be contacted via phone (304) 529-4117.

Contact Information

Primary practice address
1124 19Th St Huntington WV 25701-3904
Phone: (304) 529-4117
Fax: (304) 529-4110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 13448 West Virginia

Profile Details

NPI number 1235274242
LBN Legal business name Clark, Carolyn E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated May 21st, 2008 - about 17 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 1235274242 NPPES
Kentucky MEDICAID 64695240
Kentucky MEDICAID 0094588000
Kentucky MEDICAID 0518961

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