Clark, John Mirrell
Clark, John Mirrell is an individual health care provider with primary practice located at 3860 Teays Valley Rd Suite 4, Hurricane WV 25526-9772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Clark, John Mirrell can be contacted via phone (304) 201-2545.Contact Information
Primary practice address
3860 Teays Valley Rd Suite 4
Hurricane WV 25526-9772
Phone: (304) 201-2545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21953 | West Virginia |
Profile Details
| NPI number | 1609815786 |
|---|---|
| LBN Legal business name | Clark, John Mirrell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 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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