Clark, David R
Clark, David R is an individual health care provider with primary practice located at 531 Faunce Corner Rd , Dartmouth MA 02747-1242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, David R can be contacted via phone (508) 996-3991.Contact Information
Primary practice address
531 Faunce Corner Rd
Dartmouth MA 02747-1242
Phone: (508) 996-3991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 160944 | Massachusetts |
Profile Details
| NPI number | 1235126350 |
|---|---|
| LBN Legal business name | Clark, David R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Apr 24th, 2023 - about last year |
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 | 1235126350 | NPPES |
| Massachusetts | MEDICAID | 110062671A |
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