Clark, Charles

Clark, Charles is an individual health care provider with primary practice located at 3001 S Hanover St , Baltimore MD 21225-1233. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Clark, Charles can be contacted via phone (410) 350-3200.

Contact Information

Primary practice address
3001 S Hanover St Baltimore MD 21225-1233
Phone: (410) 350-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN702962 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN702962 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R217337 Maryland

Profile Details

NPI number 1265023535
LBN Legal business name Clark, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2021
Last updated Jun 24th, 2024 - about last year

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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