Clark, John Louis
Clark, John Louis is an sole proprietor health care provider with primary practice located at 1Veterans Drive, Surgical Service/112 , Minneapolis MN 55417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Clark, John Louis can be contacted via phone (612) 725-2065.Contact Information
Primary practice address
1Veterans Drive, Surgical Service/112
Minneapolis MN 55417
Phone: (612) 725-2065
Fax: (612) 725-2227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 35619 | Minnesota |
Profile Details
NPI number | 1174618623 |
---|---|
LBN Legal business name | Clark, John Louis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
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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