Clark, Christopher Michael

Clark, Christopher Michael is an individual health care provider with primary practice located at 350 Terracina Blvd , Redlands CA 92373-4850. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Christopher Michael can be contacted via phone (909) 335-5500.

Contact Information

Primary practice address
350 Terracina Blvd Redlands CA 92373-4850
Phone: (909) 335-5500
Fax: (909) 335-6490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17012 California

Profile Details

NPI number 1467568493
LBN Legal business name Clark, Christopher Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Oct 3rd, 2007 - about 18 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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