Clark, Edgar H
Clark, Edgar H is an individual health care provider with primary practice located at 6585 Clark Rd Suite 360, Paradise CA 95969-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Edgar H can be contacted via phone (530) 877-8855.Contact Information
Primary practice address
6585 Clark Rd Suite 360
Paradise CA 95969-3500
Phone: (530) 877-8855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G34799 | California |
Profile Details
| NPI number | 1003847872 |
|---|---|
| LBN Legal business name | Clark, Edgar H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1003847872 | NPPES |
| California | Other | ZZZ01920Z | BLUE SHIELD |
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