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
Phone: (319) 273-5275
Fax: (319) 273-5295
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831143601 | NPPES |
Iowa | MEDICAID | 0215665 | |
Iowa | Other | 19423 | |
Iowa | Other | 421417307E4 |
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