Clark, James Paul

Clark, James Paul is an individual health care provider with primary practice located at 3411A Noyes Ave Se , Charleston WV 25304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Clark, James Paul can be contacted via phone (304) 344-2459.

Contact Information

Primary practice address
3411A Noyes Ave Se Charleston WV 25304
Phone: (304) 344-2459
Fax: (304) 345-1336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 17504 West Virginia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 17504 West Virginia

Profile Details

NPI number 1306838453
LBN Legal business name Clark, James Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 24th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306838453 NPPES
West Virginia Other 5720204 AETNA
West Virginia Other 001722434 AETNA
West Virginia MEDICAID 0079196000 AETNA

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