Clark, Jeffrey Alan

Clark, Jeffrey Alan is an individual health care provider with primary practice located at 2351 Hudson Road Suite 001, Cedar Falls IA 50614-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Clark, Jeffrey Alan can be contacted via phone (319) 273-5275.

Contact Information

Primary practice address
2351 Hudson Road Suite 001 Cedar Falls IA 50614-0001
Fax: (319) 273-5295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3304 Iowa

Profile Details

NPI number 1831143601
LBN Legal business name Clark, Jeffrey Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 4th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831143601 NPPES
Iowa MEDICAID 0215665
Iowa Other 19423
Iowa Other 421417307E4

Popular Providers