Clark, Craig Anson
Clark, Craig Anson is an sole proprietor health care provider with primary practice located at 3579 Arlington Ave Ste 300 , Riverside CA 92506-3915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Clark, Craig Anson can be contacted via phone (951) 341-9333.Contact Information
Primary practice address
3579 Arlington Ave Ste 300
Riverside CA 92506-3915
Phone: (951) 341-9333
Fax: (951) 341-9330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 10026 | California |
Profile Details
| NPI number | 1952015802 |
|---|---|
| LBN Legal business name | Clark, Craig Anson |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2023 |
| Last updated | Jan 5th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952015802 | NPPES |
| California | Other | 10026 | PHYSICIAN ASSISTANT |
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