Clark, Christian

Clark, Christian is an individual health care provider with primary practice located at 1915 Randolph Rd , Charlotte NC 28207-1101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, Christian can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
1915 Randolph Rd Charlotte NC 28207-1101
Phone: (704) 323-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2008-01456 North Carolina

Profile Details

NPI number 1053381046
LBN Legal business name Clark, Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jan 11th, 2018 - about 6 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 1053381046 NPPES
North Carolina Other 0397730007 NSC #
North Carolina MEDICAID 1053381046 NSC #
North Carolina MEDICAID N0145A NSC #

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