Clark, Janice Patrece

Clark, Janice Patrece is an sole proprietor health care provider with primary practice located at 1660 S Columbian Way , Seattle WA 98108-1532. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Clark, Janice Patrece can be contacted via phone (206) 716-5651.

Contact Information

Primary practice address
1660 S Columbian Way Seattle WA 98108-1532
Phone: (206) 716-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X POD001114 Georgia
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X CL011 New Mexico
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0689 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X R57676 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD001114 Georgia

Profile Details

NPI number 1811168339
LBN Legal business name Clark, Janice Patrece
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Jul 21st, 2022 - about 2 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 1811168339 NPPES
Georgia Other 519981 WELLCARE
Georgia Other 52246038-001 WELLCARE
Georgia Other PAR WELLCARE
Georgia Other PAR-2009-07-20 WELLCARE
Georgia MEDICAID GPD114 WELLCARE
Georgia Other 2009-07-20 WELLCARE
Georgia MEDICAID 294861171A WELLCARE
Georgia Other 1289105 WELLCARE
Georgia Other 2009-10-01 WELLCARE
Georgia Other 20091544 WELLCARE
Georgia Other PAR-2009-08-28 WELLCARE
Georgia Other 2009-08-01 WELLCARE

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