Clark, Curtis Carl
Clark, Curtis Carl is an sole proprietor health care provider with primary practice located at 1405 S 8Th Ave Suite 103, Sterling CO 80751-4563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Curtis Carl can be contacted via phone (970) 522-3304.Contact Information
Primary practice address
1405 S 8Th Ave Suite 103
Sterling CO 80751-4563
Phone: (970) 522-3304
Fax: (970) 522-4615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19376 | Colorado |
Profile Details
| NPI number | 1134169360 |
|---|---|
| LBN Legal business name | Clark, Curtis Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 5th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134169360 | NPPES |
| Colorado | MEDICAID | 01193762 |
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