Clark, Elizabeth J

Clark, Elizabeth J is an individual health care provider with primary practice located at 275 Court St , Irvine KY 40336-1089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clark, Elizabeth J can be contacted via phone (606) 723-2167.

Contact Information

Primary practice address
275 Court St Irvine KY 40336-1089
Phone: (606) 723-2167
Fax: (606) 723-2112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006121 Kentucky

Profile Details

NPI number 1215168349
LBN Legal business name Clark, Elizabeth J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Feb 18th, 2022 - about 2 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 1215168349 NPPES
Kentucky MEDICAID 7100085240
Kentucky Other 1056565
Kentucky Other 3006121

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