Clark, Charles Francis

Clark, Charles Francis is an individual health care provider with primary practice located at 8300 W 38Th Ave , Wheat Ridge CO 80033-6005. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Clark, Charles Francis can be contacted via phone (303) 467-4000.

Contact Information

Primary practice address
8300 W 38Th Ave Wheat Ridge CO 80033-6005
Phone: (303) 467-4000
Fax: (303) 467-4064
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14939 Colorado
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 14939 Colorado
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 14939 Colorado

Profile Details

NPI number 1104921055
LBN Legal business name Clark, Charles Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104921055 NPPES
Colorado MEDICAID 01149392

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