Clark, Gwendolyn Elizabeth
Clark, Gwendolyn Elizabeth is an sole proprietor health care provider with primary practice located at 7710 Mercy Road Suite 202 , Omaha NE 68124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Clark, Gwendolyn Elizabeth can be contacted via phone (720) 382-9349.Contact Information
Primary practice address
7710 Mercy Road Suite 202
Omaha NE 68124
Phone: (720) 382-9349
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9645 | Nebraska |
Profile Details
NPI number | 1740966514 |
---|---|
LBN Legal business name | Clark, Gwendolyn Elizabeth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2023 |
Last updated | Jun 26th, 2023 - 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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