Clark, Jeannine Avis
Clark, Jeannine Avis is an sole proprietor health care provider with primary practice located at 6915 Laurel Bowie Road Suite 301, Bowie MD 20715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Clark, Jeannine Avis can be contacted via phone (301) 249-8838.Contact Information
Primary practice address
6915 Laurel Bowie Road Suite 301
Bowie MD 20715
Phone: (301) 249-8838
Fax: (301) 249-5334
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0043862 | Maryland |
Profile Details
NPI number | 1457389892 |
---|---|
LBN Legal business name | Clark, Jeannine Avis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2006 |
Last updated | Jun 12th, 2023 - about last year |
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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