Clark, Gregory James

Clark, Gregory James is an individual health care provider with primary practice located at 800 E 1St St Ste 1700 , Ankeny IA 50021-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, Gregory James can be contacted via phone (515) 643-8100.

Contact Information

Primary practice address
800 E 1St St Ste 1700 Ankeny IA 50021-2100
Phone: (515) 643-8100
Fax: (515) 643-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-43163 Iowa

Profile Details

NPI number 1386730836
LBN Legal business name Clark, Gregory James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 21st, 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 1386730836 NPPES
Iowa MEDICAID 1942185
Iowa MEDICAID 101225800
Iowa Other 8T180CL
Iowa Other 110164901
Iowa Other 115522

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