Clark, James Robert

Clark, James Robert is an sole proprietor health care provider with primary practice located at 12413 Fremont Dr , Glen Allen VA 23059-6995. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Clark, James Robert can be contacted via phone (804) 364-1170.

Contact Information

Primary practice address
12413 Fremont Dr Glen Allen VA 23059-6995
Phone: (804) 364-1170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401007316 Virginia

Profile Details

NPI number 1780753053
LBN Legal business name Clark, James Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 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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