Clark, Charles E

Clark, Charles E is an individual health care provider with primary practice located at 65 Jimmie Leeds Road , Pomona NJ 08240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Clark, Charles E can be contacted via phone (609) 652-3444.

Contact Information

Primary practice address
65 Jimmie Leeds Road Pomona NJ 08240
Phone: (609) 652-3444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NR07050200 New Jersey

Profile Details

NPI number 1285739557
LBN Legal business name Clark, Charles E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - 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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