Clark, David B
Clark, David B is an individual health care provider with primary practice located at 9051 Watson Rd #263, Saint Louis MO 63126-2240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Clark, David B can be contacted via phone (314) 667-5397.Contact Information
Primary practice address
9051 Watson Rd #263
Saint Louis MO 63126-2240
Phone: (314) 667-5397
Fax: (314) 627-0767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2003015259 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2003015259 | Missouri |
Profile Details
| NPI number | 1811952385 |
|---|---|
| LBN Legal business name | Clark, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Mar 26th, 2013 - 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 | 1811952385 | NPPES |
| Missouri | Other | 2002364 | UNITED HEALTHCARE |
| Missouri | Other | 145402 | UNITED HEALTHCARE |
| Missouri | Other | 127254 | UNITED HEALTHCARE |
| Missouri | Other | 127254 | UNITED HEALTHCARE |
| Missouri | MEDICAID | 208429605 | UNITED HEALTHCARE |
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