Clark, James Allen

Clark, James Allen is an individual health care provider with primary practice located at 6727 Taylor Court , Montgomery AL 36117-7708. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clark, James Allen can be contacted via phone (334) 284-2800.

Contact Information

Primary practice address
6727 Taylor Court Montgomery AL 36117-7708
Phone: (334) 284-2800
Fax: (334) 284-0438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14727 Alabama

Profile Details

NPI number 1235199506
LBN Legal business name Clark, James Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 26th, 2011 - about 13 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 1235199506 NPPES
Alabama MEDICAID 529102270
Alabama MEDICAID 000028240
Alabama Other 51028240
Alabama Other 28240

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