Clark, John P.

Clark, John P. is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Clark, John P. can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01066245A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44937 Minnesota
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 01066245A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0054601 Colorado

Profile Details

NPI number 1033197983
LBN Legal business name Clark, John P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2006
Last updated Mar 29th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033197983 NPPES
Colorado Other 025320 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 96125268 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 200962010 KAISER COMMERCIAL NUMBER

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