Clark, Jonathan
Clark, Jonathan is an individual health care provider with primary practice located at 1 Mercado St Suite 100, Durango CO 81301-7306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Clark, Jonathan can be contacted via phone (970) 385-4746.Contact Information
Primary practice address
1 Mercado St Suite 100
Durango CO 81301-7306
Phone: (970) 385-4746
Fax: (970) 259-5787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 52225 | Colorado |
Profile Details
| NPI number | 1548497407 |
|---|---|
| LBN Legal business name | Clark, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Aug 2nd, 2013 - about 11 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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