Clark, Edward Joseph

Clark, Edward Joseph is an individual health care provider with primary practice located at 1705 S. Tarboro St , Wilson NC 27893. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Clark, Edward Joseph can be contacted via phone (252) 399-8928.

Contact Information

Primary practice address
1705 S. Tarboro St Wilson NC 27893
Phone: (252) 399-8928
Fax: (252) 399-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 200101028 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200101028 North Carolina

Profile Details

NPI number 1053474080
LBN Legal business name Clark, Edward Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Mar 27th, 2024 - about 9 months 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 1053474080 NPPES
North Carolina Other P00129619 RAILROAD MEDICARE
North Carolina MEDICAID 891297G RAILROAD MEDICARE
North Carolina Other 1297G RAILROAD MEDICARE

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