Clark, David A

Clark, David A is an individual health care provider with primary practice located at 1 Hayden Bridge Way , Springfield OR 97477-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clark, David A can be contacted via phone (541) 868-9430.

Contact Information

Primary practice address
1 Hayden Bridge Way Springfield OR 97477-1347
Phone: (541) 868-9430
Fax: (541) 868-9450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101017272 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO156992 Oregon

Profile Details

NPI number 1578760278
LBN Legal business name Clark, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated May 13th, 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 1578760278 NPPES
Michigan MEDICAID 1578760278

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