Clark, Curtis R
Clark, Curtis R is an individual health care provider with primary practice located at 800 Wheeling Ave , Glen Dale WV 26038-3357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Clark, Curtis R can be contacted via phone (304) 843-3270.Contact Information
Primary practice address
800 Wheeling Ave
Glen Dale WV 26038-3357
Phone: (304) 843-3270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35087466 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 21517 | West Virginia |
Profile Details
| NPI number | 1962449017 |
|---|---|
| LBN Legal business name | Clark, Curtis R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Apr 9th, 2014 - about 11 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 | 1962449017 | NPPES |
| Ohio | MEDICAID | 2547944 |
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