Clark, John

Clark, John is an individual health care provider with primary practice located at 52 N Tu Su Ln , Bishop CA 93514-8058. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Clark, John can be contacted via phone (760) 873-8461.

Contact Information

Primary practice address
52 N Tu Su Ln Bishop CA 93514-8058
Fax: (760) 873-3530
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN629103 California

Profile Details

NPI number 1689728032
LBN Legal business name Clark, John
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1689728032 NPPES
California Other 1659433191 ORGANIZATION NPI #

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