Clark, John E
Clark, John E is an individual health care provider with primary practice located at 10390 Democracy Ln , Fairfax VA 22030-2522. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Clark, John E can be contacted via phone (703) 219-2578.Contact Information
Primary practice address
10390 Democracy Ln
Fairfax VA 22030-2522
Phone: (703) 219-2578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710101131 | Virginia |
Profile Details
| NPI number | 1699824763 |
|---|---|
| LBN Legal business name | Clark, John E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 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.
Popular Providers
-
Gordy, Gloria J.
8550 Lee Hwy , Fairfax VA 22031-1515 -
Engelken, Jane Delia
10513 Judicial Dr Ste 201 , Fairfax VA 22030-7528 -
Jacobs, David Alan
3900 Jermantown Rd Ste 200 , Fairfax VA 22030-4900 -
Patel, Bharati
8221 Willow Oaks Corporate Dr , Fairfax VA 22031-4512 -
Allen, Susan R
8550 Lee Hwy , Fairfax VA 22031-1515 -
Lopez, Sandra Louise
10520 Judicial Dr , Fairfax VA 22030-5115 -
Wiley, Joseph P
3020 Javier Rd , Fairfax VA 22031-4609 -
Andrews, Edward Michael
8550 Lee Highway Suite 300, Fairfax VA 22031