Clark, Douglas Paul
Clark, Douglas Paul is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne Depatment Of Pathology, Albuquerque NM 87106-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Clark, Douglas Paul can be contacted via phone (505) 272-4814.Contact Information
Primary practice address
2211 Lomas Blvd Ne Depatment Of Pathology
Albuquerque NM 87106-2719
Phone: (505) 272-4814
Fax: (505) 272-8084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD2013-0937 | New Mexico |
Profile Details
| NPI number | 1235181132 |
|---|---|
| LBN Legal business name | Clark, Douglas Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Dec 16th, 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 | 1235181132 | NPPES |
| Maryland | MEDICAID | 231351100 |
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