Clark, Elizabeth Catherine

Clark, Elizabeth Catherine is an individual health care provider with primary practice located at 200 W. Hospital Dr , Whiteriver AZ 85941. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Clark, Elizabeth Catherine can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Dr Whiteriver AZ 85941
Phone: (928) 338-4911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 1346 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1346 West Virginia

Profile Details

NPI number 1922014182
LBN Legal business name Clark, Elizabeth Catherine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 18th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922014182 NPPES
Arizona MEDICAID 1629236716
Arizona MEDICAID 1780614008
Arizona MEDICAID 1871523191
Arizona MEDICAID 1295993376
Arizona MEDICAID 409757

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