Clark, James P

Clark, James P is an individual health care provider with primary practice located at 7575 E Earll Dr , Scottsdale AZ 85251-6915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Clark, James P can be contacted via phone (480) 941-7509.

Contact Information

Primary practice address
7575 E Earll Dr Scottsdale AZ 85251-6915
Fax: (480) 941-0890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17282 Arizona

Profile Details

NPI number 1376503375
LBN Legal business name Clark, James P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 6th, 2008 - about 16 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 1376503375 NPPES
Arizona MEDICAID 257578

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