Clark, John M
Clark, John M is an individual health care provider with primary practice located at 3220 Providence Dr Ste E3040, Anchorage AK 99508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Clark, John M can be contacted via phone (907) 770-3750.Contact Information
Primary practice address
3220 Providence Dr Ste E3040
Anchorage AK 99508
Phone: (907) 770-3750
Fax: (907) 770-3795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 3182 | Alaska |
Profile Details
| NPI number | 1518936871 |
|---|---|
| LBN Legal business name | Clark, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Aug 26th, 2010 - about 15 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 | 1518936871 | NPPES |
| Alaska | MEDICAID | MD3182 | |
| Alaska | Other | 290009977 |
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