Clark, Jonathan

Clark, Jonathan is an individual health care provider with primary practice located at 1200 E Woodhurst Dr Suite Q-200, Springfield MO 65804-4257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clark, Jonathan can be contacted via phone (417) 881-5639.

Contact Information

Primary practice address
1200 E Woodhurst Dr Suite Q-200 Springfield MO 65804-4257
Phone: (417) 881-5639
Fax: (417) 881-5664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD101561 Missouri

Profile Details

NPI number 1164415204
LBN Legal business name Clark, Jonathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 18 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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