Clark, John Robert
Clark, John Robert is an individual health care provider with primary practice located at 42 East Rowan Suite B , Spokane WA 99207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clark, John Robert can be contacted via phone (509) 489-3879.Contact Information
Primary practice address
42 East Rowan Suite B
Spokane WA 99207
Phone: (509) 489-3879
Fax: (509) 484-1823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD0016474 | Washington |
Profile Details
| NPI number | 1801962923 |
|---|---|
| LBN Legal business name | Clark, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801962923 | NPPES |
| Other | 0124325 | L & I | |
| MEDICAID | 1105469 | L & I |
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