Clark, James Eric

Clark, James Eric is an individual health care provider with primary practice located at 1632 116Th Ave Ne Suite C, Bellevue WA 98004-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, James Eric can be contacted via phone (425) 462-9800.

Contact Information

Primary practice address
1632 116Th Ave Ne Suite C Bellevue WA 98004-3035
Fax: (425) 454-9143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0050416 Washington

Profile Details

NPI number 1225187826
LBN Legal business name Clark, James Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 23rd, 2009 - about 15 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 1225187826 NPPES
Washington MEDICAID 1089044

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