Clark, Christopher David

Clark, Christopher David is an sole proprietor health care provider with primary practice located at 13114 Pennsylvania Ave , Hagerstown MD 21742-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Clark, Christopher David can be contacted via phone (301) 800-7770.

Contact Information

Primary practice address
13114 Pennsylvania Ave Hagerstown MD 21742-2741
Phone: (301) 800-7770
Fax: (301) 800-7891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D0082490 Maryland
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA09515800 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD451865 Pennsylvania

Profile Details

NPI number 1215257217
LBN Legal business name Clark, Christopher David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2010
Last updated Aug 3rd, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215257217 NPPES
Maryland MEDICAID 9822046
Maryland MEDICAID 0460583

Popular Providers