Clark, John B
Clark, John B is an individual health care provider with primary practice located at 1900 Randolph Rd Ste 900, Charlotte NC 28207-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Clark, John B can be contacted via phone (704) 377-2424.Contact Information
Primary practice address
1900 Randolph Rd Ste 900
Charlotte NC 28207-1106
Phone: (704) 377-2424
Fax: (704) 377-2687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 23260 | North Carolina |
Profile Details
| NPI number | 1003866443 |
|---|---|
| LBN Legal business name | Clark, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003866443 | NPPES |
| South Carolina | MEDICAID | N23260 | |
| South Carolina | Other | 22664 | |
| South Carolina | Other | 930067545 | |
| South Carolina | MEDICAID | 89-22664 |
Popular Providers
-
Dupont, Andrea Mikolajczyk
501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035 -
Hanley, Matthew L
1000 Blythe Blvd Emergency Dept, Charlotte NC 28203-5812 -
Berning, Lenora W.
1420 E 7Th St , Charlotte NC 28204-2408 -
Fletcher, Sidney M
1900 Randolph Rd Ste 900, Charlotte NC 28207-1106 -
Heffner, Alan Christopher
1350 S Kings Dr , Charlotte NC 28207-2134 -
Davis, James A
1900 Randolph Rd Ste 900, Charlotte NC 28207-1106 -
Brant, Thomas Alan
501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035 -
Prechtel, Leslie Andrew
501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035