Clark, Daniel C

Clark, Daniel C is an individual health care provider with primary practice located at 841 Hospital Rd Ste 2300 , Indiana PA 15701-3699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clark, Daniel C can be contacted via phone (724) 357-7196.

Contact Information

Primary practice address
841 Hospital Rd Ste 2300 Indiana PA 15701-3699
Phone: (724) 357-7196
Fax: (724) 357-7279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD046505L Pennsylvania

Profile Details

NPI number 1396733093
LBN Legal business name Clark, Daniel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 15th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396733093 NPPES
Pennsylvania MEDICAID 0018210180003

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