Clark, Jaclyn
Clark, Jaclyn is an individual health care provider with primary practice located at 550 1St Ave , New York NY 10016-6402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Clark, Jaclyn can be contacted via phone (201) 321-2635.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | C462356683177 | Maryland |
Profile Details
| NPI number | 1861838682 |
|---|---|
| LBN Legal business name | Clark, Jaclyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2013 |
| Last updated | Aug 15th, 2019 - about 6 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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